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General NPI Number Information
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NPI Number | 1124627658
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Entity Type | Organization
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Legal Business Name | ERICA L DANIELS, PCC, LLC
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 1000 JEFFERSON AVE
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City | CINCINNATI
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State | OH
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Zip | 45215-3236
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Country | US
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Telephone | 513-268-5828
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Fax |
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Provider Business Mailing Address
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Address Line | 258 STEEPLECHASE LN
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City | MONROE
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State | OH
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Zip | 45050-2441
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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 | OWNER
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Name | MS. ERICA DANIELS
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Credential | LPCC-S
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Telephone | 513-268-5828
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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