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General NPI Number Information
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NPI Number | 1093502510
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Entity Type | Individual
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Provider Name | DAYNA M CONWAY PMHNP
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1915 CHESTER BLVD
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City | RICHMOND
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State | IN
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Zip | 47374-1212
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Country | US
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Telephone | 765-935-8754
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Fax | 765-935-8553
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Provider Business Mailing Address
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Address Line | 1100 REID PKWY
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City | RICHMOND
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State | IN
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Zip | 47374-1157
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Country | US
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Telephone | 765-983-3293
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71017362A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IN
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