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General NPI Number Information
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NPI Number | 1811336092
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Entity Type | Individual
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Provider Name | GUY SMITH DOOLEY IV D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 160 ACADEMY AVE
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City | GREENWOOD
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State | SC
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Zip | 29646-3808
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Country | US
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Telephone | 864-223-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 104 WELLS AVE
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City | GREENWOOD
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State | SC
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Zip | 29646-3837
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Country | US
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Telephone | 864-725-4673
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0102203918
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2019-01260
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 83124
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License Number State | SC
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