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General NPI Number Information
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NPI Number | 1457671489
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Entity Type | Individual
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Provider Name | DANA L TODD M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 200 MORROW AVE
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City | EUTAW
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State | AL
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Zip | 35462-1106
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Country | US
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Telephone | 205-372-0011
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Fax | 205-372-9079
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Provider Business Mailing Address
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Address Line | 5213 S ALSTON AVE
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City | DURHAM
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State | NC
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Zip | 27713-4430
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Country | US
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Telephone | 919-620-4855
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2016-02368
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L.3318
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License Number State | AL
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