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General NPI Number Information
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NPI Number | 1558564450
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Entity Type | Organization
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Legal Business Name | DAWN M. GAFFNEY, DDS, LLC
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 801 HWY 30 W
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City | MOUNT VERNON
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State | IA
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Zip | 52314-0202
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Country | US
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Telephone | 319-895-8322
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Fax | 319-895-8109
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Provider Business Mailing Address
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Address Line | 801 HIGHWAY 30 W
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City | MOUNT VERNON
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State | IA
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Zip | 52314-9518
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Country | US
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Telephone | 319-895-8322
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Fax | 319-895-8109
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DR. DAWN M. GAFFNEY
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Credential | DDS
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Telephone | 319-895-8322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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