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General NPI Number Information
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NPI Number | 1982696985
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Entity Type | Individual
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Provider Name | DONALD A MACDONALD JR. MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 21 N GILBERT ST SUITE 200
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City | TINTON FALLS
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State | NJ
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Zip | 07701-4913
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Country | US
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Telephone | 732-741-1902
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Fax | 732-741-1919
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Provider Business Mailing Address
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Address Line | 21N GILBERT ST SUITE 200
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City | TINTON FALLS
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State | NJ
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Zip | 07701-4913
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Country | US
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Telephone | 732-741-1902
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Fax | 732-741-1919
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA04441400
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License Number State | NJ
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