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General NPI Number Information
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NPI Number | 1114247913
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Entity Type | Individual
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Provider Name | DAWN MARIE CLIFTON CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 57950 LEAVENWORTH AVE BLDG 250 22D MEDICAL GROUP
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City | MCCONNELL AFB
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State | KS
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Zip | 67221
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Country | US
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Telephone | 316-759-1622
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Fax | 316-759-6030
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Provider Business Mailing Address
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Address Line | 57950 LEAVENWORTH ST BLDG 250
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City | MCCONNELL AFB
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State | KS
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Zip | 67221-3505
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Country | US
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Telephone | 316-759-5116
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Fax | 316-759-6030
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1-119377
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License Number State | AL
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