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General NPI Number Information
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NPI Number | 1104802776
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Entity Type | Individual
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Provider Name | DANIEL HOULIHAN OT
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | BRANCH MEDICAL CLINIC / EDIS PSC 561 BOX 1877
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City | FPO
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State | AP
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Zip | 96310
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Country | JP
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Telephone | 011942534562
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 561 BOX 1822
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City | FPO
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State | AP
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Zip | 96310
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Country | JP
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Telephone | 011942534562
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119004103
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License Number State | VA
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