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NPI 1245292077

NPI 1245292077 : DONNA T CATELL MD : MINEOLA, NY

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General NPI Number Information
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    NPI Number           |    1245292077
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    Entity Type          |    Individual 
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    Provider Name        |    DONNA T CATELL MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/05/2006
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    Last Update Date     |    03/28/2014
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Provider Practice Location Address
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    Address Line         |    259 1ST ST ATTN: DEPT OF RADIOLOGY
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    City                 |    MINEOLA
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    State                |    NY
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    Zip                  |    11501-3957
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    Country              |    US
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    Telephone            |    516-663-2501
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    Fax                  |    516-663-8558
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Provider Business Mailing Address
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    Address Line         |    259 1ST ST ATTN: DEPT OF RADIOLOGY
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    City                 |    MINEOLA
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    State                |    NY
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    Zip                  |    11501-3957
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    Country              |    US
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    Telephone            |    516-663-2501
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    Fax                  |    516-663-8558
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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        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    204718
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    License Number State |    NY
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