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General NPI Number Information
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NPI Number | 1073869632
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Entity Type | Individual
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Provider Name | DANIELLE NAHAS PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 2108 N ST # 10258
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 415-902-7879
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 E LAS OLAS BLVD # 1079
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City | FT LAUDERDALE
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State | FL
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Zip | 33301-2334
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Country | US
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Telephone | 415-902-7879
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY27313
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-13-13509
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License Number State |
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