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General NPI Number Information
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NPI Number | 1720303589
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Entity Type | Individual
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Provider Name | ARIE P. DOSORETZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 12/05/2019
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Provider Practice Location Address
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Address Line | 15681 NEW HAMPSHIRE CT
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City | FORT MYERS
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State | FL
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Zip | 33908-4123
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Country | US
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Telephone | 239-437-1977
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Fax | 239-437-1889
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Provider Business Mailing Address
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Address Line | 15681 NEW HAMPSHIRE CT
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City | FORT MYERS
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State | FL
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Zip | 33908-4123
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Country | US
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Telephone | 239-437-1977
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Fax | 239-437-1889
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME124597
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License Number State | FL
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