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General NPI Number Information
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NPI Number | 1952305765
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Entity Type | Individual
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Provider Name | ROBERT GERALD DODDS MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 30055 NORTHWESTERN HWY STE 260
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3275
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Country | US
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Telephone | 248-737-4600
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Fax | 248-538-5020
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Provider Business Mailing Address
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Address Line | 30055 NORTHWESTERN HWY STE 260
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3275
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Country | US
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Telephone | 248-737-4600
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Fax | 248-538-5020
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301063275
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 43010363275
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License Number State | MI
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