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General NPI Number Information
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NPI Number | 1235589078
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Entity Type | Individual
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Provider Name | DANO K HEATWOLE CRNP
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Gender | Male
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1209 RICHMOND AVE
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City | STAUNTON
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State | VA
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Zip | 24401-5069
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Country | US
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Telephone | 540-885-0629
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 RICHMOND AVE
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City | STAUNTON
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State | VA
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Zip | 24401-5069
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Country | US
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Telephone | 540-885-0629
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024179429
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN620495
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP016257
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP016257
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License Number State | PA
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