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General NPI Number Information
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NPI Number | 1265476246
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Entity Type | Individual
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Provider Name | DANA L DIMARCO CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 6819 PLUM CREEK DR
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City | AMARILLO
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State | TX
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Zip | 79124-1602
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Country | US
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Telephone | 806-354-6100
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Fax | 806-352-0381
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Provider Business Mailing Address
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Address Line | PO BOX 140677
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City | DALLAS
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State | TX
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Zip | 75214-0677
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Country | US
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Telephone | 214-522-0210
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Fax | 214-522-0474
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 571641
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License Number State | TX
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