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General NPI Number Information
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NPI Number | 1972239648
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Entity Type | Individual
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Provider Name | AUBREE DANE
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Gender | Female
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 865 LINCOLN RD STE 100
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City | BETTENDORF
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State | IA
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Zip | 52722-4159
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Country | US
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Telephone | 563-355-1000
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Fax | 563-344-2975
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Provider Business Mailing Address
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Address Line | 1351 W CENTRAL PARK AVE
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City | DAVENPORT
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State | IA
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Zip | 52804-1853
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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