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General NPI Number Information
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NPI Number | 1891953998
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Entity Type | Organization
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Legal Business Name | JOHN E DOOLEY MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 9770 S MCCARRAN BLVD
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City | RENO
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State | NV
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Zip | 89523
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Country | US
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Telephone | 775-322-4589
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Fax | 775-322-3787
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Provider Business Mailing Address
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Address Line | 9770 S MCCARRAN BLVD
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City | RENO
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State | NV
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Zip | 89523
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Country | US
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Telephone | 775-322-4589
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Fax | 775-322-3787
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | JOHN EDWARD DOOLEY
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Credential | MD
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Telephone | 775-322-4589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 3435
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License Number State | NV
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