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General NPI Number Information
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NPI Number | 1831103373
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Entity Type | Individual
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Provider Name | MATTHEW HUSTED DONNER R PT
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 861 N NOB HILL ROAD
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City | PLANTATION
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-577-5705
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Fax | 954-577-0168
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Provider Business Mailing Address
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Address Line | 8040 PETERS RD STE H107
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City | PLANTATION
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State | FL
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Zip | 33324-4029
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Country | US
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Telephone | 513-742-2333
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Fax | 513-742-0943
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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