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General NPI Number Information
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NPI Number | 1245202050
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Entity Type | Individual
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Provider Name | NICOLE J DANNER D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 5433 STATE ROUTE 113
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City | BELLEVUE
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State | OH
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Zip | 44811-9708
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Country | US
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Telephone | 419-483-2403
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Fax | 429-483-8418
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Provider Business Mailing Address
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Address Line | 5433 STATE ROUTE 113
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City | BELLEVUE
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State | OH
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Zip | 44811-9708
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Country | US
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Telephone | 419-483-2403
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Fax | 419-483-8418
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 34008317
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License Number State | OH
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