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General NPI Number Information
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NPI Number | 1619191830
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Entity Type | Individual
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Provider Name | PAUL E. DONECKER M.S.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1853 WILLIAM PENN WAY
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City | LANCASTER
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State | PA
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Zip | 17601-6713
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Country | US
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Telephone | 717-399-2966
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Fax |
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Provider Business Mailing Address
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Address Line | 1853 WILLIAM PENN WAY PO BOX 10368
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City | LANCASTER
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State | PA
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Zip | 17601-6713
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Country | US
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Telephone | 717-399-2966
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS000205L
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License Number State | PA
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