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General NPI Number Information
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NPI Number | 1184505992
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Entity Type | Individual
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Provider Name | BRIANNA NICOLE DAEGER
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Gender | Female
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 955 N MICHIGAN AVE
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City | GREENSBURG
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State | IN
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Zip | 47240-1487
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Country | US
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Telephone | 812-222-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 8312 E COUNTY ROAD 300 S
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City | GREENSBURG
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State | IN
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Zip | 47240-5511
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Country | US
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Telephone | 812-716-0999
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28217707A
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License Number State | IN
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