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General NPI Number Information
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NPI Number | 1083478739
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Entity Type | Individual
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Provider Name | DANIEL WAYNE FREELAND PSY.D
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Gender | Male
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 1430 BROADWAY RM 1510
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City | NEW YORK
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State | NY
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Zip | 10018-3368
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Country | US
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Telephone | 212-262-2850
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Fax | 212-262-2858
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Provider Business Mailing Address
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Address Line | 9071 MILL CREEK RD APT 3002
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City | LEVITTOWN
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State | PA
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Zip | 19054-4239
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Country | US
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Telephone | 336-755-9052
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 026302
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License Number State | NY
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