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General NPI Number Information
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NPI Number | 1083619951
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Entity Type | Individual
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Provider Name | DWAYNE AVANISH NARAYAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 400 NORTHWOOD DR
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City | CENTRE
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State | AL
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Zip | 35960-1023
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Country | US
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Telephone | 256-927-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 13894 S BANGERTER PKWY STE 200
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City | DRAPER
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State | UT
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Zip | 84020-5320
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 81580
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License Number State | SC
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