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General NPI Number Information
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NPI Number | 1336489103
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Entity Type | Organization
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Legal Business Name | JOSEPH KYLE DONAGHEY,DMD,LLC
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 836 NORTH DEAN ROAD
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City | AUBURN
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State | AL
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Zip | 36830
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Country | US
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Telephone | 334-821-8800
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Fax | 334-821-8838
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Provider Business Mailing Address
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Address Line | 836 NORTH DEAN ROAD
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City | AUBURN
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State | AL
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Zip | 36830
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Country | US
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Telephone | 334-821-8800
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Fax | 334-821-8838
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSPEH KYLE DONAGHEY
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Credential | D.M.D
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Telephone | 334-821-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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