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General NPI Number Information
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NPI Number | 1366401531
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Entity Type | Individual
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Provider Name | DONNA JEAN DONALDSON AU.D.
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Gender | Female
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 77 W FOREST AVE SUITE 212
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-1479
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Country | US
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Telephone | 928-773-2218
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Fax | 928-773-2287
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Provider Business Mailing Address
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Address Line | 77 WEST FOREST AVE, SUITE 212
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City | FLAGSTAFF
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State | AZ
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Zip | 86001
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Country | US
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Telephone | 928-773-2218
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Fax | 928-773-2287
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | DA5862
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 200200998
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 00457
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 00757
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License Number State | IA
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