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General NPI Number Information
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NPI Number | 1740404755
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Entity Type | Individual
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Provider Name | GINA L DONATO RPT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 51 SHERMAN HILL RD STE A201
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City | WOODBURY
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State | CT
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Zip | 06798-3694
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Country | US
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Telephone | 203-263-3104
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Fax | 203-263-4050
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Provider Business Mailing Address
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Address Line | 96 AUGUSTA ST
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City | OAKVILLE
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State | CT
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Zip | 06779-1022
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Country | US
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Telephone | 860-945-3224
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Fax | 203-263-4050
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 003690
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License Number State | CT
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