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General NPI Number Information
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NPI Number | 1124264858
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Entity Type | Individual
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Provider Name | DAVID DEAN DONALDSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/30/2008
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 709 PETALUMA BLVD N # B
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City | PETALUMA
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State | CA
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Zip | 94952-2106
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Country | US
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Telephone | 707-772-5154
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Fax | 707-762-7508
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Provider Business Mailing Address
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Address Line | 709 PETALUMA BLVD N SUITE B
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City | PETALUMA
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State | CA
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Zip | 94952-2106
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Country | US
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Telephone | 707-772-5154
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Fax | 707-762-7508
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15910
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License Number State | CA
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