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General NPI Number Information
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NPI Number | 1881747046
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Entity Type | Individual
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Provider Name | DANNY ELLIOTT DREW MD
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 614 E EMMA AVE STE 300
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City | SPRINGDALE
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State | AR
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Zip | 72764-4469
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Country | US
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Telephone | 479-751-7417
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Fax |
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Provider Business Mailing Address
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Address Line | 614 E EMMA AVE STE 300
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City | SPRINGDALE
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State | AR
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Zip | 72764-4469
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Country | US
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Telephone | 479-751-7417
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A98440
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD152952
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-18570
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License Number State | AR
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