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General NPI Number Information
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NPI Number | 1306069075
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Entity Type | Individual
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Provider Name | PAUL STREINER DONALDSON MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 6225 FRANK AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-8439
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Country | US
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Telephone | 330-497-6555
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Fax | 330-497-3281
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Provider Business Mailing Address
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Address Line | 6225 FRANK AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-8439
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Country | US
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Telephone | 330-497-6555
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Fax | 330-497-3281
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4211
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35-039492
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License Number State | OH
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