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General NPI Number Information
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NPI Number | 1790070035
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Entity Type | Individual
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Provider Name | WILLIAM ROBERT DORAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 30265 COMMERCE DR UNIT 103
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City | MILLSBORO
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State | DE
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Zip | 19966-3594
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Country | US
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Telephone | 302-297-2598
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Fax |
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Provider Business Mailing Address
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Address Line | 30265 COMMERCE DR UNIT 103
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City | MILLSBORO
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State | DE
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Zip | 19966-3594
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Country | US
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Telephone | 302-297-2598
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | C2-0000458
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OT014316
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License Number State | PA
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