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General NPI Number Information
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NPI Number | 1699865063
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Entity Type | Individual
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Provider Name | THAO DORAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 14 JONES HOLLOW RD
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City | MARLBOROUGH
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State | CT
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Zip | 06447-1448
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Country | US
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Telephone | 860-295-0436
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 STORRS RD # 134
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City | STORRS
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State | CT
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Zip | 06268-2251
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Country | US
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Telephone | 860-245-1269
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 051003
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License Number State | CT
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