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General NPI Number Information
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NPI Number | 1740498112
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Entity Type | Organization
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Legal Business Name | RICHARD B DOERING M D INC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 351 HOSPITAL RD STE 401
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3509
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Country | US
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Telephone | 949-631-6002
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Fax | 949-631-6982
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Provider Business Mailing Address
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Address Line | PO BOX 1218
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City | NEWPORT BEACH
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State | CA
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Zip | 92659-0218
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Country | US
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Telephone | 949-631-6002
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Fax | 949-631-6982
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | RICHARD B DOERING
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Credential | M.D
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Telephone | 949-631-6002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | A28899
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License Number State | CA
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