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General NPI Number Information
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NPI Number | 1154841740
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Entity Type | Individual
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Provider Name | DANA PAYNE PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 10435 REED ST STE 100
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City | WESTMINSTER
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State | CO
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Zip | 80021-6099
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Country | US
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Telephone | 720-669-6682
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Fax |
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Provider Business Mailing Address
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Address Line | 600 GRANT ST
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City | GARY
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State | IN
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Zip | 46402-6001
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Country | US
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Telephone | 219-886-4464
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Fax | 219-886-4514
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0005978
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10002238A
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License Number State | IN
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