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General NPI Number Information
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NPI Number | 1548456122
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Entity Type | Individual
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Provider Name | ROBERT DANIEL DANSBY III APRN
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Gender | Male
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 13245 KESSLER RD
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City | CAIRO
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State | IL
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Zip | 62914-3101
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Country | US
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Telephone | 618-734-4400
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Fax | 618-477-8557
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Provider Business Mailing Address
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Address Line | PO BOX 3008
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City | CARBONDALE
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State | IL
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Zip | 62902-3008
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Country | US
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Telephone | 618-457-0450
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Fax | 618-477-8557
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277000409
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2004004425
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License Number State | MO
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