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General NPI Number Information
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NPI Number | 1073242475
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Entity Type | Individual
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Provider Name | EILEEN MARIE DANIEU CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 10 CENTER DR
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City | BETHESDA
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State | MD
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Zip | 20892-0004
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Country | US
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Telephone | 301-451-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 3614 SPRUCEDALE DR
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City | ANNANDALE
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State | VA
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Zip | 22003-1947
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Country | US
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Telephone | 703-220-3235
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AC004308
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License Number State | MD
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