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General NPI Number Information
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NPI Number | 1114554623
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Entity Type | Individual
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Provider Name | DANIEL CARLSEN DO
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Gender | Male
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 401 MATTHEW ST
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City | MARIETTA
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State | OH
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Zip | 45750-1635
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Country | US
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Telephone | 740-374-1400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-0188
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Country | US
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Telephone | 740-773-4366
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Fax | 740-775-7855
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN.171600
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 58.034467
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License Number State | OH
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