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General NPI Number Information
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NPI Number | 1245067719
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Entity Type | Individual
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Provider Name | MAKENZIE LEANN DONALDSON DNP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 30924 E KINGS CANYON RD
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City | SQUAW VALLEY
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State | CA
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Zip | 93675-9601
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Country | US
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Telephone | 877-960-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 1952 E AUGUST AVE
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City | REEDLEY
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State | CA
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Zip | 93654-8879
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Country | US
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Telephone | 559-393-2884
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95031065
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License Number State | CA
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