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General NPI Number Information
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NPI Number | 1376002436
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Entity Type | Individual
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Provider Name | DANA ALEXIS DAUER PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 9135 SW BARNES RD STE 663
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City | PORTLAND
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State | OR
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Zip | 97225-6683
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Country | US
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Telephone | 503-297-1078
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Fax | 503-292-2176
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Provider Business Mailing Address
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Address Line | 9135 SW BARNES RD STE 663
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City | PORTLAND
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State | OR
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Zip | 97225-6683
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Country | US
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Telephone | 503-297-1078
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Fax | 503-292-2176
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110007288
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 001008738
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA222857
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License Number State | OR
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