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General NPI Number Information
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NPI Number | 1063854479
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Entity Type | Individual
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Provider Name | NICHOLAS ALLEN DONAGHEY O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1190 5TH ST
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City | WENATCHEE
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State | WA
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Zip | 98801-1825
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Country | US
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Telephone | 509-662-9671
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Fax | 509-662-9672
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Provider Business Mailing Address
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Address Line | 47 MAKENNA LN
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City | EAST WENATCHEE
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State | WA
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Zip | 98802-5198
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Country | US
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Telephone | 816-217-8822
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Fax | 509-662-9672
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD60440878
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License Number State | WA
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