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NPI 1649645342

NPI 1649645342 : DAWN NEFF : NORTH LIBERTY, IA

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General NPI Number Information
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    NPI Number           |    1649645342
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    Entity Type          |    Individual 
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    Provider Name        |    DAWN NEFF
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/07/2015
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    Last Update Date     |    12/07/2015
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Provider Practice Location Address
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    Address Line         |    1780 N JONES BLVD APT 5
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    City                 |    NORTH LIBERTY
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    State                |    IA
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    Zip                  |    52317-8826
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    Country              |    US
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    Telephone            |    563-542-7233
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1780 N JONES BLVD APT 5
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    City                 |    NORTH LIBERTY
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    State                |    IA
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    Zip                  |    52317-8826
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    Country              |    US
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    Telephone            |    563-542-7233
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    074183
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    License Number State |    IA
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