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General NPI Number Information
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NPI Number | 1295703734
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Entity Type | Individual
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Provider Name | MICHAEL CHRISTOPHER DONATO D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 195 FALCON DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-1930
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Country | US
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Telephone | 540-371-2724
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Fax | 540-371-5072
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Provider Business Mailing Address
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Address Line | PO BOX 8389
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City | FREDERICKSBURG
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State | VA
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Zip | 22404-8389
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Country | US
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Telephone | 540-371-2724
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Fax | 540-371-5072
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103000930
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 0103000930
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 0103300871
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0103300871
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License Number State | VA
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