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General NPI Number Information
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NPI Number | 1114717790
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Entity Type | Individual
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Provider Name | DAMON B DANIELS PT
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Gender | Male
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 459 E MAIN ST
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City | PRATTVILLE
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State | AL
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Zip | 36067-3409
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Country | US
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Telephone | 334-356-6107
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 WESTINGHOUSE DR STE 200
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-5238
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH12252
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License Number State | AL
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