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Individual
DR. DOUGLAS J DICKSON
Active
Individual
DR. DOUGLAS J DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004816
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01337159
—
NY
01
—
620006599
GHI
NY
Enumeration date
07/11/2006
Last updated
10/21/2015
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