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General NPI Number Information
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NPI Number | 1871753855
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Entity Type | Individual
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Provider Name | DAVID PAUL DONATELLI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 5 STEFWALT RD
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City | HATBORO
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State | PA
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Zip | 19040-1629
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Country | US
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Telephone | 412-965-9398
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Fax |
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Provider Business Mailing Address
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Address Line | 5 STEFWALT RD
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City | HATBORO
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State | PA
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Zip | 19040-1629
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Country | US
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Telephone | 412-965-9398
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DS021911L
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License Number State | PA
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