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General NPI Number Information
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NPI Number | 1194008953
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Entity Type | Organization
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Legal Business Name | DNK PARTNERS LLC
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 510 WEST MAIN
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City | COULEE CITY
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State | WA
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Zip | 99115-0892
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Country | US
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Telephone | 509-386-3328
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 892
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City | COULEE CITY
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State | WA
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Zip | 99115-0892
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Country | US
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Telephone | 509-386-3328
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DANIEL EARLE DELP
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Credential | PA-C
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Telephone | 509-386-3328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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