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General NPI Number Information
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NPI Number | 1083371306
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Entity Type | Organization
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Legal Business Name | KAYTI MCDANIEL THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 39899 BALENTINE DRIVE SUITE 200
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City | NEWARK
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State | CA
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Zip | 94560
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Country | US
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Telephone | 831-205-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 820 PARK ROW SUITE 483
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City | SALINAS
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State | CA
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Zip | 93901
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Country | US
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Telephone | 831-205-7893
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KAYTI MCDANIEL
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Credential | LCSW
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Telephone | 831-205-7893
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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 |
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License Number State |
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