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General NPI Number Information
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NPI Number | 1275148009
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Entity Type | Individual
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Provider Name | BRITTANY ANN DAHL
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Gender | Female
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 1430 NORTH HWY
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City | JACKSON
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State | MN
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Zip | 56143-1093
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Country | US
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Telephone | 507-847-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 3950 125TH ST
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City | ESTHERVILLE
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State | IA
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Zip | 51334-7714
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Country | US
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Telephone | 712-209-2499
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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 | F08200545
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License Number State | IA
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