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General NPI Number Information
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NPI Number | 1831384973
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Entity Type | Individual
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Provider Name | JANIS LEIGH DONAHUE DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 1012 NE 17TH CT UNIT 1
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City | FORT LAUDERDALE
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State | FL
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Zip | 33305-3166
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Country | US
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Telephone | 954-661-7386
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Fax |
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Provider Business Mailing Address
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Address Line | 919 NE 17TH CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33305-3126
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Country | US
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Telephone | 954-661-7386
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 2680782
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License Number State | FL
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