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General NPI Number Information
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NPI Number | 1174684286
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Entity Type | Individual
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Provider Name | DAVID A MCDONNELL DC
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 210 W 6TH N ST
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City | SUMMERVILLE
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State | SC
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Zip | 29483
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Country | US
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Telephone | 843-832-4357
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Fax | 843-832-4986
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Provider Business Mailing Address
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Address Line | PO BOX 12999
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City | CHARLESTON
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State | SC
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Zip | 29422
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Country | US
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Telephone | 843-556-7828
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Fax | 843-556-8652
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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 | 1386
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License Number State | SC
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