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General NPI Number Information
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NPI Number | 1518300813
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Entity Type | Individual
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Provider Name | GEORGE K DONAVOS CRNP
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Gender | Male
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 2319 S GEORGE ST
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City | YORK
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State | PA
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Zip | 17403-5009
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Country | US
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Telephone | 717-812-4090
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Fax | 717-741-3554
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Provider Business Mailing Address
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Address Line | 601 MEMORY LANE
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City | YORK
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State | PA
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Zip | 17402
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Country | US
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Telephone | 717-851-1405
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Fax | 717-851-6969
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP014911
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP013399
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | SP014911
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP014911
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License Number State | PA
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