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1568579555

NPI Code Detail

MEDICARE: DR. BARBARA DOLESHAL MD

MEDICARE: DR. BARBARA DOLESHAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	H9888	TX
2	2084P0800X	Psychiatry Physician	2006-01650	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568579555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA DOLESHAL MD

Provider Business Mailing Address
First Line	:	1007 CEDAR ST
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-3701
Country	:	US
Telephone Number	:	252-335-4140
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 E MAIN ST
Second Line	:	ALBEMARLE MENTAL HEALTH CENTER
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-4425
Country	:	US
Telephone Number	:	252-331-4090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. BARBARA DOLESHAL MD” Practice Location

Language	Start Address	Practice Location

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