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General NPI Number Information
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NPI Number | 1336189281
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Entity Type | Organization
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Legal Business Name | TERRENCE K DONAHUE MD LLC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 40 HART STREET BLDG D
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City | NEW BRITAIN
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State | CT
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Zip | 06052
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Country | US
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Telephone | 860-826-5288
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Fax | 860-225-9519
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Provider Business Mailing Address
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Address Line | 40 HART STREET BLDG D
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City | NEW BRITAIN
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State | CT
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Zip | 06052
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Country | US
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Telephone | 860-826-5288
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Fax | 860-225-9519
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. TERRENCE K DONAHUE
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Credential | MD
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Telephone | 860-826-5288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ID044382
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 028945
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001357
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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