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General NPI Number Information
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NPI Number | 1902080542
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Entity Type | Individual
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Provider Name | JOSEPH D DOUGHERTY RRT,MS,MBA
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Gender | Male
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 2026 FAWN LN
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City | COATESVILLE
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State | PA
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Zip | 19320-4735
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Country | US
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Telephone | 484-883-5811
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Fax |
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Provider Business Mailing Address
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Address Line | 2026 FAWN LN
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City | COATESVILLE
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State | PA
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Zip | 19320-4735
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Country | US
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Telephone | 484-883-5811
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | YM002856L
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License Number State | PA
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