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General NPI Number Information
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NPI Number | 1962832410
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Entity Type | Organization
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Legal Business Name | DONAHUE HEALTH LLC
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 17837 WALDO RD
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City | MARYSVILLE
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State | OH
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Zip | 43040-9472
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Country | US
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Telephone | 937-594-0102
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Fax | 614-467-3731
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Provider Business Mailing Address
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Address Line | 17920 WALDO RD
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City | MARYSVILLE
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State | OH
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Zip | 43040-9464
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Country | US
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Telephone | 937-594-0102
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Fax | 614-467-3731
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SARAH R DONAHUE
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Credential | CNP
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Telephone | 937-594-0102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | COA.13540-NP
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License Number State | OH
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