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General NPI Number Information
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NPI Number | 1487591939
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Entity Type | Individual
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Provider Name | DANIKA IVAN
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 48338 POWDERHORN RD
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City | MESA
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State | CO
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Zip | 81643-5099
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Country | US
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Telephone | 970-268-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 1708 HALL AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-6330
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Country | US
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Telephone |
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 0735-7534-4313
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License Number State | UT
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