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General NPI Number Information
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NPI Number | 1992860027
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Entity Type | Individual
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Provider Name | BRUCE MICHAEL DOPLER MD
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 24488 SUSSEX HWY UNIT 6
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City | SEAFORD
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State | DE
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Zip | 19973-8470
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Country | US
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Telephone | 302-628-7730
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Fax | 302-628-7791
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Provider Business Mailing Address
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Address Line | 24488 SUSSEX HWY UNIT 6
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City | SEAFORD
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State | DE
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Zip | 19973-8470
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Country | US
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Telephone | 302-628-7730
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Fax | 302-628-7791
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | C10005068
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License Number State | DE
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