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General NPI Number Information
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NPI Number | 1902002199
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Entity Type | Individual
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Provider Name | DR. DANA ROBERT GAWLEY
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Gender | Male
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 01/04/2026
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Provider Practice Location Address
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Address Line | 217 W MAIN ST
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City | EAGLE POINT
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State | OR
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Zip | 97524-0450
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Country | US
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Telephone | 541-826-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 2733 NW CHAMPION CIR
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City | BEND
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State | OR
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Zip | 97703-8675
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Country | US
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Telephone | 530-798-3191
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 23437
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D11221
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License Number State | OR
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