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General NPI Number Information
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NPI Number | 1124067269
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Entity Type | Individual
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Provider Name | ROBERT JOHN MCDONALD MD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1281 E COTTONWOOD LN
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City | CASA GRANDE
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State | AZ
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Zip | 85122-2949
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Country | US
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Telephone | 520-863-9800
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Fax | 520-836-1510
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Provider Business Mailing Address
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Address Line | PO BOX 102222
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City | ATLANTA
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State | GA
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Zip | 30368-2222
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Country | US
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Telephone | 239-432-8500
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | ME0051842
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME51842
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | ME51842
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License Number State | FL
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