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NPI 1720557820

NPI 1720557820 : DANA M OAKES-SAND MCD : WINSTED, CT

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General NPI Number Information
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    NPI Number           |    1720557820
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    Entity Type          |    Individual 
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    Provider Name        |    DANA M OAKES-SAND MCD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/19/2018
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    Last Update Date     |    11/19/2018
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Provider Practice Location Address
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    Address Line         |    25 COE ST 
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    City                 |    WINSTED
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    State                |    CT
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    Zip                  |    06098-1003
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    Country              |    US
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    Telephone            |    860-921-4371
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    25 COE ST 
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    City                 |    WINSTED
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    State                |    CT
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    Zip                  |    06098-1003
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    Country              |    US
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    Telephone            |    860-921-4371
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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        |    374J00000X
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    Taxonomy Name        |    Doula
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    License Number       |    6002-15
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    License Number State |    CA
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