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General NPI Number Information
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NPI Number | 1699011536
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Entity Type | Individual
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Provider Name | VANESSA FRANCES DOYLE ND
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Gender | Female
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Dates
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Enumeration Date | 12/21/2012
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Last Update Date | 12/21/2012
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Provider Practice Location Address
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Address Line | 115 BROAD STREET C/O CENTER OF EXCELLENCE
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City | BRIDGEPORT
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State | CT
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Zip | 06604
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Country | US
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Telephone | 203-366-0526
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Fax | 201-336-6052
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Provider Business Mailing Address
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Address Line | 27 POPLAR STREET
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City | TRUMBULL
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State | CT
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Zip | 06611
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Country | US
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Telephone | 617-686-8622
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Fax | 203-366-0529
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 489
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License Number State | CT
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