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NPI 1760757991

NPI 1760757991 : ASHLEY NOBLE DONAHUE PA-C, MMS, ATC, LAT : THOMASVILLE, NC

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General NPI Number Information
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    NPI Number           |    1760757991
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY NOBLE DONAHUE PA-C, MMS, ATC, LAT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/21/2012
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    Last Update Date     |    05/23/2025
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Provider Practice Location Address
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    Address Line         |    100 HEDRICK DR 
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    City                 |    THOMASVILLE
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    State                |    NC
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    Zip                  |    27360-6009
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    Country              |    US
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    Telephone            |    336-474-3623
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5306 NC HIGHWAY 55 
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27713-7812
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    Country              |    US
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    Telephone            |    877-279-5960
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    Fax                  |    877-384-3106
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    0561
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    0010-10342
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    License Number State |    NC
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