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General NPI Number Information
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NPI Number | 1588800312
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Entity Type | Individual
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Provider Name | BRIGHID M DONEGAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 484-476-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 3521 CHATHAM CT W
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City | JACKSON
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State | NJ
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Zip | 08527-3619
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Country | US
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Telephone | 848-525-1220
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00223000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA053942
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License Number State | PA
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