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General NPI Number Information
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NPI Number | 1396324919
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Entity Type | Individual
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Provider Name | DARA C NASH MCDOWELL RN
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Gender | Female
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 1610 MILLER PARK WAY
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City | MILWAUKEE
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State | WI
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Zip | 53214-3604
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Country | US
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Telephone | 414-690-6409
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 N 74TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53218-2231
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Country | US
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Telephone | 414-841-5793
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 249144-30
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License Number State | WI
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