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General NPI Number Information
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NPI Number | 1710224050
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Entity Type | Organization
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Legal Business Name | DOROTHY A IZMIRLIAN DO PA
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 4055 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34233-2549
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Country | US
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Telephone | 941-953-5125
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Fax | 941-957-4482
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Provider Business Mailing Address
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Address Line | 4055 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34233-2549
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOROTHY A IZMIRLIAN
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Credential | DO PA
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Telephone | 941-953-5125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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