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General NPI Number Information
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NPI Number | 1275433096
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Entity Type | Individual
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Provider Name | DINA MANNABERG
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Gender | Female
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 155 N 3RD ST FL 5
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City | DEKALB
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State | IL
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Zip | 60115-3366
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Country | US
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Telephone | 847-489-5087
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Fax |
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Provider Business Mailing Address
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Address Line | 1636 WIDWARD DRIVE
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City | PINGREE GROVE
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State | IL
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Zip | 60140
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Country | US
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Telephone | 847-489-5087
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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