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General NPI Number Information
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NPI Number | 1720509730
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Entity Type | Individual
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Provider Name | APRIL DVORAK APRN
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Gender | Female
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 12/09/2023
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Provider Practice Location Address
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Address Line | 313 E 8TH AVE
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City | EUGENE
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State | OR
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Zip | 97401-2709
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Country | US
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Telephone | 504-706-9998
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10146
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City | EUGENE
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State | OR
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Zip | 97440-2146
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Country | US
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Telephone | 512-762-5759
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202205234NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95016642
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP134262
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License Number State | TX
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