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General NPI Number Information
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NPI Number | 1689076614
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Entity Type | Organization
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Legal Business Name | DOLINKY AND WATRY INC
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 09/22/2014
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Provider Practice Location Address
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Address Line | 45 PHEASANT DR
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City | PALM COAST
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State | FL
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Zip | 32164-6781
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Country | US
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Telephone | 916-705-0094
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Fax |
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Provider Business Mailing Address
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Address Line | 45 PHEASANT DR
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City | PALM COAST
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State | FL
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Zip | 32164-6781
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Country | US
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Telephone | 916-705-0094
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADRIENNE B DOLINKY
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Credential | NP
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Telephone | 916-705-0994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 9189535
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License Number State | FL
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