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General NPI Number Information
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NPI Number | 1649250655
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Entity Type | Individual
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Provider Name | LOUIS ALAN DAINTY MD
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Gender | Male
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 704 S WEBSTER AVE STE 300
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City | GREEN BAY
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State | WI
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Zip | 54301-3528
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Country | US
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Telephone | 920-338-6868
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Fax |
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Provider Business Mailing Address
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Address Line | 1043 S QUINCY ST
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City | GREEN BAY
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State | WI
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Zip | 54301-3209
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Country | US
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Telephone | 240-731-8836
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | D0075326
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MD042121
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MD458373
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 75499
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 13217-320
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License Number State | WI
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