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General NPI Number Information
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NPI Number | 1063805893
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Entity Type | Individual
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Provider Name | DANIEL JAMES GILLESPIE AGPCNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 160 N LURING DR STE D
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6840
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Country | US
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Telephone | 408-341-9606
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Fax | 866-811-0333
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Provider Business Mailing Address
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Address Line | 160 N LURING DR STE D
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6840
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Country | US
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Telephone | 760-209-6480
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Fax | 866-811-0333
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 686932-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95235674
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F307616-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95026743
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License Number State | CA
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