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General NPI Number Information
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NPI Number | 1457792863
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Entity Type | Individual
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Provider Name | MRS. DONNA M O'DONNELL
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Gender | Female
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Dates
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Enumeration Date | 07/13/2013
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Last Update Date | 07/13/2013
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Provider Practice Location Address
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Address Line | 241 N 1ST ST
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City | LEHIGHTON
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State | PA
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Zip | 18235-1514
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Country | US
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Telephone | 610-377-4262
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Fax |
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Provider Business Mailing Address
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Address Line | 17 LITTLE FLOWER AVE
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City | NESQUEHONING
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State | PA
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Zip | 18240-1016
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Country | US
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Telephone | 570-669-9193
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP037145L
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License Number State | PA
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