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General NPI Number Information
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NPI Number | 1083054035
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Entity Type | Individual
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Provider Name | DANIELLE LUCIEN MD
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Gender | Female
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Dates
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Enumeration Date | 07/04/2013
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 175 TONEY PENNA DR STE 201
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City | JUPITER
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State | FL
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Zip | 33458-5747
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Country | US
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Telephone | 561-581-6026
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Fax | 561-431-3214
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Provider Business Mailing Address
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Address Line | 175 TONEY PENNA DR STE 201
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City | JUPITER
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State | FL
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Zip | 33458-5747
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Country | US
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Telephone | 561-581-6026
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Fax | 561-431-3214
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME124947
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01082996A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME124947
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License Number State | FL
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