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General NPI Number Information
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NPI Number | 1184754939
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Entity Type | Individual
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Provider Name | WILLIAM T DONAHOO M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD # 100226
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City | GAINESVILLE
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State | FL
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Zip | 32610
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Country | US
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Telephone | 352-273-8656
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 SW ARCHER RD BOX 100226
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City | GAINESVILLE
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State | FL
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Zip | 32610-0226
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Country | US
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Telephone | 352-273-8656
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 33969
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME130053
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License Number State | FL
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