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General NPI Number Information
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NPI Number | 1720118185
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Entity Type | Organization
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Legal Business Name | DOLPHIN DIAGNOSTICS, INC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1700 N MCMULLEN BOOTH RD STE C5
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City | CLEARWATER
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State | FL
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Zip | 33759-2129
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Country | US
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Telephone | 727-797-8461
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Fax | 727-797-8467
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Provider Business Mailing Address
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Address Line | 1700 N MCMULLEN BOOTH RD STE C5
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City | CLEARWATER
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State | FL
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Zip | 33759-2129
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Country | US
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Telephone | 727-797-8461
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Fax | 727-797-8467
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Authorized Official
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Title or Position | DIRECTOR OPERATIONS
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Name | MR. JOHN J. DOLLINGER
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Credential |
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Telephone | 727-797-8461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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