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General NPI Number Information
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NPI Number | 1851476170
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Entity Type | Individual
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Provider Name | MARIANNA DOGOT M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 15 GLEN ST STE 304
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City | GLEN COVE
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State | NY
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Zip | 11542-2786
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Country | US
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Telephone | 516-759-3742
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Fax | 516-484-6649
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Provider Business Mailing Address
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Address Line | 6A OSBORNE LN
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City | GREENVALE
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State | NY
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Zip | 11548-1141
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Country | US
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Telephone | 516-484-6411
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Fax | 516-484-6649
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 207136
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License Number State | NY
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