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General NPI Number Information
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NPI Number | 1407311368
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Entity Type | Individual
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Provider Name | DONNA MCCARTHY REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 627 SOUTH RIVER STREET SUITE 105
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City | PLAINS
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State | PA
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Zip | 18705
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Country | US
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Telephone | 570-212-9116
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Fax | 570-212-9917
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Provider Business Mailing Address
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Address Line | 627 SOUTH RIVER STREET SUITE 105
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City | PLAINS
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State | PA
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Zip | 18705
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Country | US
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Telephone | 570-212-9116
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Fax | 570-212-9917
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP034713
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License Number State | PA
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