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General NPI Number Information
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NPI Number | 1700407897
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Entity Type | Individual
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Provider Name | DOROTHY ANN ZIRKLE CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 04/30/2020
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 13 HEMLOCK LN
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City | FALMOUTH
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State | ME
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Zip | 04105-1156
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Country | US
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Telephone | 918-629-8931
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Fax |
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Provider Business Mailing Address
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Address Line | 13 HEMLOCK LN
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City | FALMOUTH
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State | ME
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Zip | 04105-1156
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Country | US
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Telephone | 918-629-8931
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN2258140
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License Number State | MA
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