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General NPI Number Information
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NPI Number | 1538563028
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Entity Type | Individual
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Provider Name | DANA BEBBER CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5041 N 12TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32504-8916
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Country | US
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Telephone | 850-433-2155
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Fax |
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Provider Business Mailing Address
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Address Line | 5145 WHEELER WAY
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City | PENSACOLA
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State | FL
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Zip | 32526-4438
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Country | US
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Telephone | 407-212-9252
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | P180866
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024174554
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11003137
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License Number State | FL
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