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General NPI Number Information
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NPI Number | 1962706606
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE DOVEC M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 3030 HARDEN BOULEVARD BUILDING 1
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City | LAKELAND
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State | FL
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Zip | 33803-7952
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Country | US
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Telephone | 407-707-5018
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Fax | 407-707-8658
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Provider Business Mailing Address
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Address Line | 7512 DR PHILLIPS BLVD STE 50-792
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City | ORLANDO
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State | FL
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Zip | 32819-5420
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Country | US
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Telephone | 407-707-5018
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Fax | 407-707-8658
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD-438450
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME149355
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License Number State | FL
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