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General NPI Number Information
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NPI Number | 1043855141
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Entity Type | Individual
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Provider Name | DANIELLE GLOVER LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/12/2019
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 115 E MARKS ST
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City | ORLANDO
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State | FL
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Zip | 32803-3816
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Country | US
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Telephone | 321-335-1503
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Fax |
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Provider Business Mailing Address
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Address Line | 12638 HADDON DR
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City | WINDERMERE
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State | FL
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Zip | 34786-6617
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Country | US
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Telephone | 941-993-3559
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW16695
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License Number State | FL
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