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General NPI Number Information
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NPI Number | 1760549737
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Entity Type | Individual
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Provider Name | DONNA MARIE MACKEY LPN RN
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 57 HARMATI LANE
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City | SHADY
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State | NY
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Zip | 12409
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Country | US
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Telephone | 845-657-7323
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Fax |
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Provider Business Mailing Address
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Address Line | 345 FIRST AVE
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City | KINGSTON
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State | NY
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Zip | 12401
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Country | US
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Telephone | 845-331-9479
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 3404661
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 1324981
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License Number State | NY
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