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General NPI Number Information
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NPI Number | 1932665270
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Entity Type | Individual
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Provider Name | RAYMOND WALTER DONER D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 477 RESERVE RD
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City | WEST SENECA
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State | NY
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Zip | 14224-4144
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Country | US
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Telephone | 716-777-2649
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Fax |
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Provider Business Mailing Address
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Address Line | 1006 VIRGINIA AVE
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City | FORT PIERCE
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State | FL
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Zip | 34982-3522
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Country | US
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Telephone | 772-466-5600
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 012906
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License Number State | NY
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