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General NPI Number Information
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NPI Number | 1639855968
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Entity Type | Organization
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Legal Business Name | DONLEY PEDIATRICS LLC
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 850 E WESTERN RESERVE RD STE 3A
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City | YOUNGSTOWN
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State | OH
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Zip | 44514-4383
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Country | US
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Telephone | 330-531-8006
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Fax | 330-663-7514
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Provider Business Mailing Address
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Address Line | 8664 TIPPECANOE RD
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City | CANFIELD
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State | OH
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Zip | 44406-8106
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Country | US
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Telephone | 440-812-2642
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Fax | 330-663-7514
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Authorized Official
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Title or Position | CEO
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Name | ERIN M. DONLEY
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Credential | MD
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Telephone | 440-812-2642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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