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General NPI Number Information
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NPI Number | 1396748091
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Entity Type | Individual
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Provider Name | JON DAVID DONSHIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 301 NW 84TH AVE STE 303
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City | PLANTATION
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State | FL
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Zip | 33324-1807
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Country | US
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Telephone | 954-888-1000
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Fax | 954-888-1446
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Provider Business Mailing Address
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Address Line | 301 NW 84TH AVE STE 303
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City | PLANTATION
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State | FL
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Zip | 33324-1807
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Country | US
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Telephone | 954-888-1000
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Fax | 954-888-1446
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME79363
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License Number State | FL
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