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General NPI Number Information
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NPI Number | 1043201130
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Entity Type | Individual
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Provider Name | DONNA A MCDONALD PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/29/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2000 S DIXIE HWY 103
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City | MIAMI
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State | FL
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Zip | 33133-2456
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Country | US
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Telephone | 305-670-6011
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Fax | 305-361-7401
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Provider Business Mailing Address
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Address Line | 1111 CRANDON BLVD C1105
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City | KEY BISCAYNE
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State | FL
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Zip | 33149-2745
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Country | US
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Telephone | 305-361-9467
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Fax | 305-361-7401
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY0004842
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License Number State | FL
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