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General NPI Number Information
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NPI Number | 1235066879
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Entity Type | Individual
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Provider Name | DANIELLE DAWN PRS
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Gender | Female
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 1401 HILL AVE
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City | SPIRIT LAKE
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State | IA
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Zip | 51360-1333
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Country | US
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Telephone | 712-262-2922
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E 11TH ST
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City | SPENCER
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State | IA
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Zip | 51301-4460
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Country | US
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Telephone | 712-262-2922
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | IA
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