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General NPI Number Information
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NPI Number | 1649531344
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Entity Type | Organization
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Legal Business Name | DONACO MEDICAL SUPPLY, LLC
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 117 TOWNE LAKE PKWY STE 200
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City | WOODSTOCK
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State | GA
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Zip | 30188-4831
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Country | US
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Telephone | 877-424-2562
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Fax | 877-832-9663
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Provider Business Mailing Address
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Address Line | 2295 TOWNE LAKE PKWY STE 116 BOX 237
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City | WOODSTOCK
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State | GA
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Zip | 30189-5562
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Country | US
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Telephone | 877-424-2562
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Fax | 877-832-9663
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Authorized Official
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Title or Position | VICE PRESIDENT PATIENT SERVICES
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Name | MR. DALLAS DONALD
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Credential |
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Telephone | 678-401-2628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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