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General NPI Number Information
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NPI Number | 1619377744
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Entity Type | Individual
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Provider Name | MAEVE M DONALDSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 07/04/2024
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Provider Practice Location Address
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Address Line | 5915 NORMANDY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32205-6200
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Country | US
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Telephone | 904-379-8085
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Fax |
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Provider Business Mailing Address
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Address Line | 1686 PERSHING RD
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City | JACKSONVILLE
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State | FL
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Zip | 32205-9218
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Country | US
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Telephone | 352-317-5423
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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 | PA9108018
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License Number State | FL
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