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General NPI Number Information
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NPI Number | 1679743660
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Entity Type | Organization
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Legal Business Name | DIXIE A DOOLEY, DPM INC
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 69 N DIXIE DR SUITE B
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City | VANDALIA
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State | OH
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Zip | 45377-2060
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Country | US
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Telephone | 937-890-4934
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Fax | 937-433-1577
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Provider Business Mailing Address
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Address Line | 69 N DIXIE DR SUITE B
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City | VANDALIA
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State | OH
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Zip | 45377-2060
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Country | US
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Telephone | 937-890-4934
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Fax | 937-433-1577
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DR. DIXIE A DOOLEY
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Credential | DPM
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Telephone | 937-433-9821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36001778
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License Number State | OH
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