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NPI Code Detail

MEDICARE: DR. DANA JOHN DAKKEN DC

MEDICARE: DR. DANA JOHN DAKKEN DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor04761IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10122150OTHERIAT19

General Provider Information

NPI Number : 1780742858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA JOHN DAKKEN DC
Provider Business Mailing Address
First Line : 117 N MILL ST
Second Line :
City : LAKE MILLS
State : IA
Zip : 50450-1303
Country : US
Telephone Number : 641-592-3301
Fax Number : 641-592-3301
Provider Business Practice Location Address
First Line : 117 N MILL ST
Second Line :
City : LAKE MILLS
State : IA
Zip : 50450-1303
Country : US
Telephone Number : 641-592-3301
Fax Number : 641-592-3301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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