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General NPI Number Information
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NPI Number | 1154797579
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Entity Type | Individual
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Provider Name | JOE DANKO
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Gender | Male
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 4800 S SAGINAW ST STE 1800
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City | FLINT
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State | MI
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Zip | 48507-2677
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Country | US
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Telephone | 810-732-8336
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 S SAGINAW STREET SUITE 1800
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City | FLINT
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State | MI
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Zip | 48507
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704275633
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704275633
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License Number State | MI
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