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General NPI Number Information
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NPI Number | 1780056861
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Entity Type | Organization
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Legal Business Name | JAMES B. DONAGHEY II DMD, PC
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 4626 BIT AND SPUR RD
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City | MOBILE
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State | AL
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Zip | 36608-2646
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Country | US
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Telephone | 251-342-3188
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Fax | 251-342-3526
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Provider Business Mailing Address
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Address Line | 4626 BIT AND SPUR RD
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City | MOBILE
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State | AL
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Zip | 36608-2646
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Country | US
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Telephone | 251-342-3188
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Fax | 251-342-3526
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES B DONAGHEY II
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Credential | DMD
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Telephone | 251-342-3188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 3753
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License Number State | AL
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