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General NPI Number Information
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NPI Number | 1689293003
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Entity Type | Individual
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Provider Name | JOSEPH FITZPATRICK DOYLE GC
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Gender | Male
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 5900 LAKE WRIGHT DR
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City | NORFOLK
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State | VA
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Zip | 23502-1871
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Country | US
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Telephone | 757-466-8683
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Fax | 757-466-8892
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Provider Business Mailing Address
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Address Line | 6350 CENTER DR STE 200
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City | NORFOLK
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State | VA
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Zip | 23502-4107
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Country | US
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Telephone | 757-905-5558
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Fax | 757-213-5762
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 0140000012
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License Number State | VA
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