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General NPI Number Information
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NPI Number | 1871789180
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Entity Type | Individual
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Provider Name | KATHRYN ANNE DONOHUE-DE SOUZA M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | BOX AP 59223 SLOT 390
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City | NASSAU
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State | NEW PROVIDENCE
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Zip | 00000
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Country | BS
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Telephone | 242-702-4609
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Fax | 242-702-4624
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Provider Business Mailing Address
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Address Line | BOX AP 59223 SLOT 390
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City | NASSAU
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State | NEW PROVIDENCE
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Zip | 00000
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Country | BS
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Telephone | 242-702-4609
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Fax | 242-702-4624
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 194404
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License Number State | NY
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