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General NPI Number Information
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NPI Number | 1144637745
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Entity Type | Organization
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Legal Business Name | SUSAN M. DONAHUE, D.C., LTD.
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 07/15/2014
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Provider Practice Location Address
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Address Line | 63 EDDIE DOWLING HWY
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896-7322
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Country | US
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Telephone | 401-356-4606
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Fax | 401-356-4607
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Provider Business Mailing Address
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Address Line | 63 EDDIE DOWLING HWY
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896-7322
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Country | US
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Telephone | 401-356-4606
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Fax | 401-356-4607
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN M. DONAHUE
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Credential | D.C.
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Telephone | 401-356-4606
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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 | RIDCP00516
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License Number State | RI
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