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General NPI Number Information
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NPI Number | 1548469083
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Entity Type | Individual
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Provider Name | ALICE VERONICA DONLAN LPT
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Gender | Female
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Dates
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Enumeration Date | 07/15/2007
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Last Update Date | 07/15/2007
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Provider Practice Location Address
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Address Line | 1925 W TURNER ST
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City | ALLENTOWN
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State | PA
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Zip | 18104-5513
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Country | US
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Telephone | 610-794-5131
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Fax |
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Provider Business Mailing Address
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Address Line | 110 OLD PEN ARGYL RD
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City | BANGOR
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State | PA
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Zip | 18013-9312
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Country | US
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Telephone | 610-588-0568
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | PT007257L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 40A01017200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 024834-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT-007257-L
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License Number State | PA
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