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General NPI Number Information
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NPI Number | 1841599230
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Entity Type | Organization
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Legal Business Name | JAMES R DONLEY DDS PLC
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 166 N CAUSEWAY ST
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City | N MUSKEGON
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State | MI
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Zip | 49445-3302
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Country | US
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Telephone | 231-744-6661
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Fax | 231-744-2837
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Provider Business Mailing Address
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Address Line | 166 N CAUSEWAY ST
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City | N MUSKEGON
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State | MI
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Zip | 49445-3302
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Country | US
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Telephone | 231-744-6661
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Fax | 231-744-2837
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Authorized Official
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Title or Position | MANAGER/DENTIST
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Name | DR. JAMES RUSSELL DONLEY
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Credential | DDS
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Telephone | 231-744-6661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9163
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License Number State | MI
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