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General NPI Number Information
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NPI Number | 1144471061
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Entity Type | Individual
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Provider Name | DAVID M DRANEY ARNP
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Gender | Male
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 16105 MANCHESTER RD
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City | ELLISVILLE
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State | MO
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Zip | 63011-2001
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Country | US
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Telephone | 314-687-2718
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 955534
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City | SAINT LOUIS
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State | MO
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Zip | 63195-1435
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5762
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 201300508
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License Number State | MO
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