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General NPI Number Information
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NPI Number | 1023941937
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Entity Type | Individual
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Provider Name | DANIEL MULLANEY OTR/L
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Gender | Male
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 1731 PRINCE ST
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City | BERKELEY
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State | CA
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Zip | 94703-2464
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Country | US
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Telephone | 510-644-6313
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Fax |
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Provider Business Mailing Address
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Address Line | 645 40TH ST
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City | RICHMOND
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State | CA
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Zip | 94805-1809
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 19787
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License Number State | CA
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