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General NPI Number Information
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NPI Number | 1992266225
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Entity Type | Organization
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Legal Business Name | GO DOC, LLC
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 03/28/2019
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Provider Practice Location Address
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Address Line | 1846 E INNOVATION PARK DR
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City | ORO VALLEY
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State | AZ
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Zip | 85755-1963
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Country | US
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Telephone | 833-862-6415
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Fax |
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Provider Business Mailing Address
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Address Line | 1846 E INNOVATION PARK DR
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City | ORO VALLEY
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State | AZ
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Zip | 85755-1963
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Country | US
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Telephone | 833-862-6415
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. DONALD EDWARD BROOKS
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Credential | D.O
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Telephone | 918-721-3874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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