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General NPI Number Information
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NPI Number | 1922412964
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Entity Type | Individual
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Provider Name | KATE MCDONALD DDS
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Gender | Female
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 3310 FRANKLIN RD SW
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City | ROANOKE
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State | VA
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Zip | 24014-1310
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Country | US
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Telephone | 540-342-7221
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Fax | 540-400-8304
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Provider Business Mailing Address
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Address Line | 3310 FRANKLIN RD SW
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City | ROANOKE
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State | VA
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Zip | 24014-1310
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Country | US
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Telephone | 540-342-7221
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Fax | 540-400-8304
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401414451
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License Number State | VA
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