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Individual
MARK ANTHONY DONAHUE
Active
Individual
MARK ANTHONY DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13856
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP NUMBER
AL
01
—
1063439065
SITE NPI MCARE GROUP PAYEE
AL
05
—
631300093
—
AL
Enumeration date
07/31/2006
Last updated
05/06/2008
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