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General NPI Number Information
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NPI Number | 1730252701
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Entity Type | Individual
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Provider Name | JOSEPH DOUGHERTY DO
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 90 N 4TH ST
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City | MARTINS FERRY
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State | OH
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Zip | 43935-1648
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Country | US
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Telephone | 330-493-4443
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Fax |
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Provider Business Mailing Address
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Address Line | 4535 DRESSLER RD NW
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City | CANTON
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State | OH
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Zip | 44718-2545
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Country | US
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Telephone | 330-493-4443
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 7789
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License Number State | OH
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