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General NPI Number Information
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NPI Number | 1073723078
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Entity Type | Individual
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Provider Name | JILL CATHLEEN DONIHUE CRT
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 300 WERNER ST
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6406
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Country | US
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Telephone | 501-609-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 608 PINE BLUFF ST
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City | MALVERN
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State | AR
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Zip | 72104-4330
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Country | US
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Telephone | 501-332-4053
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Fax |
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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 | 2278G1100X
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Taxonomy Name | General Care Certified Respiratory Therapist
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License Number |
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License Number State |
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