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NPI 1790668572

NPI 1790668572 : DANIEL J SPROUL DSL, IHP, CNC : NAPERVILLE, IL

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General NPI Number Information
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    NPI Number           |    1790668572
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL J SPROUL DSL, IHP, CNC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/29/2025
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    Last Update Date     |    09/18/2025
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Provider Practice Location Address
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    Address Line         |    2863 95TH ST # 123-380 
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    City                 |    NAPERVILLE
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    State                |    IL
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    Zip                  |    60564-9005
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    Country              |    US
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    Telephone            |    512-677-5308
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2863 95TH ST # 123-380 
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    City                 |    NAPERVILLE
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    State                |    IL
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    Zip                  |    60564-9005
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    Country              |    US
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    Telephone            |    512-555-0179
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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        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    
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