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General NPI Number Information
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NPI Number | 1841130630
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Entity Type | Individual
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Provider Name | DONIELLE NICOLE WINGFIELD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 1340 E 84TH ST
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City | CLEVELAND
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State | OH
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Zip | 44103-2946
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Country | US
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Telephone | 216-703-6740
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 E 84TH ST
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City | CLEVELAND
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State | OH
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Zip | 44103-2946
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Country | US
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Telephone | 216-703-6740
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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 | 2472R0900X
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Taxonomy Name | Renal Dialysis Technician
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License Number | DT.005197
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License Number State | OH
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