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General NPI Number Information
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NPI Number | 1487544250
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Entity Type | Individual
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Provider Name | DANNY TRIP LMSW
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Gender |
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 3350 UTICA RIDGE RD
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City | BETTENDORF
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State | IA
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Zip | 52722-1616
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Country | US
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Telephone | 515-298-4561
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Fax |
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Provider Business Mailing Address
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Address Line | 6521 N HARRISON ST APT 1
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City | DAVENPORT
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State | IA
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Zip | 52806-2028
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Country | US
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Telephone | 515-298-4561
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 131664
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License Number State | IA
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