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General NPI Number Information
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NPI Number | 1669983136
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Entity Type | Individual
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Provider Name | GEORGE FRANCIS DONOHUE V PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 10/23/2017
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Provider Practice Location Address
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Address Line | 281 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10003-2925
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Country | US
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Telephone | 347-598-2434
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Fax |
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Provider Business Mailing Address
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Address Line | 406 W 48TH ST APT 1 RE
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City | NEW YORK
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State | NY
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Zip | 10036-1232
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Country | US
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Telephone | 610-764-6853
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 021536
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License Number State | NY
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