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General NPI Number Information
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NPI Number | 1952312985
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Entity Type | Individual
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Provider Name | DAUNYALE L SPORAA DO
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 3201 1ST ST
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City | EMMETSBURG
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State | IA
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Zip | 50536-2516
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Country | US
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Telephone | 712-852-5555
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Fax | 712-852-5692
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Provider Business Mailing Address
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Address Line | 600 1ST ST NW SUITE 101
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City | MASON CITY
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State | IA
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Zip | 50401-2932
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Country | US
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Telephone | 641-428-3041
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Fax | 641-428-3059
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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 | 03148
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License Number State | IA
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