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General NPI Number Information
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NPI Number | 1952456899
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Entity Type | Individual
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Provider Name | DAWN FRANCES BLEAN RD, CDE, LDN
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 801 ILLINI DR
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City | SILVIS
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State | IL
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Zip | 61282-1804
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Country | US
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Telephone | 309-792-4299
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Fax |
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Provider Business Mailing Address
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Address Line | 20297 N 2925TH AVE
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City | PROPHETSTOWN
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State | IL
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Zip | 61277-8747
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Country | US
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Telephone | 309-944-3417
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 447939
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License Number State | NULL
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