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General NPI Number Information
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NPI Number | 1427578962
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Entity Type | Individual
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Provider Name | DANIEL DODD PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 06/27/2017
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Provider Practice Location Address
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Address Line | 2406 E EMPIRE ST
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City | BLOOMINGTON
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State | IL
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Zip | 61704-3630
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Country | US
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Telephone | 309-706-4363
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Fax |
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Provider Business Mailing Address
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Address Line | 4 ALEXANDER CT
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City | NORMAL
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State | IL
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Zip | 61761-1503
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Country | US
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Telephone | 309-706-4363
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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 | 2471B0102X
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Taxonomy Name | Bone Densitometry Radiologic Technologist
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License Number |
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License Number State | IL
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