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General NPI Number Information
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NPI Number | 1154651511
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Entity Type | Individual
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Provider Name | DONALD MAYER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/07/2010
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 712 S LOGAN BLVD
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-3032
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Country | US
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Telephone | 814-631-5151
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 20TH AVE
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City | ALTOONA
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State | PA
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Zip | 16601-3057
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Country | US
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Telephone | 979-966-3756
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS042018
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License Number State | PA
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