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NPI 1720153513

NPI 1720153513 : DONNA S. LAUNEY M.D. : VANCOUVER, WA

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General NPI Number Information
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    NPI Number           |    1720153513
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    Entity Type          |    Individual 
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    Provider Name        |    DONNA S. LAUNEY M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/21/2006
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    Last Update Date     |    12/24/2008
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Provider Practice Location Address
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    Address Line         |    505 NE 87TH AVENUE SUITE LL50
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98664
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    Country              |    US
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    Telephone            |    360-254-4914
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    Fax                  |    360-254-8988
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Provider Business Mailing Address
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    Address Line         |    505 NE 87TH AVENUE SUITE LL50
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98664
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    Country              |    US
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    Telephone            |    360-254-4914
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    Fax                  |    360-254-8988
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    MD18102
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    MD00038200
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    License Number State |    WA
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