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Dakota David Cline

Student in an Organized Health Care Education/Training Program in Elberta, AL. Individual provider (NPI-1).

NPI number1619683133
StatusActive
Last updated in NPPESJan 27, 2023

Details

NPI
1619683133
Entity type
Individual (NPI-1)
Name
Dakota David Cline
Sex
Male
Sole proprietor
No
Enumeration date
Jan 27, 2023
Certification date
Jan 27, 2023
Last updated
Jan 27, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

25175 Olive St
Elberta, AL 36530-2509

Phone 251-284-0769

Mailing address

25175 Olive St
Elberta, AL 36530-2509

Phone 251-284-0769

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Elberta, AL

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