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General NPI Number Information
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NPI Number | 1184552713
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Entity Type | Individual
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Provider Name | DAWN RENEE KONDOR OD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 5500 ARMSTRONG RD BLDG 3
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City | BATTLE CREEK
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State | MI
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Zip | 49037-7314
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Country | US
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Telephone | 269-966-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 12345 DOWNES ST NE
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City | LOWELL
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State | MI
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Zip | 49331-9762
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Country | US
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Telephone | 616-469-7109
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | MI
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