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General NPI Number Information
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NPI Number | 1255586855
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Entity Type | Organization
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Legal Business Name | THOMAS A. DONOHUE, MD, PLLC
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 09/13/2009
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Provider Practice Location Address
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Address Line | 119 WEDDINGTON BRANCH RD
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City | PIKEVILLE
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State | KY
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Zip | 41501-3204
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Country | US
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Telephone | 606-432-8008
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Fax | 606-432-8011
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Provider Business Mailing Address
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Address Line | 119 WEDDINGTON BRANCH RD
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City | PIKEVILLE
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State | KY
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Zip | 41501-3204
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Country | US
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Telephone | 606-432-8008
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Fax | 606-432-8011
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Authorized Official
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Title or Position | CREDENTIALING OFFICER
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Name | PAMELA B. ATKINS
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Credential |
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Telephone | 478-737-0395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 20898
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License Number State | KY
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