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General NPI Number Information
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NPI Number | 1154279727
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Entity Type | Individual
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Provider Name | DAKOTA MCDANIEL
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Gender | Male
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 1296 UNION UNIVERSITY DR STE G
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City | JACKSON
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State | TN
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Zip | 38305-3714
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Country | US
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Telephone | 865-406-7675
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Fax |
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Provider Business Mailing Address
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Address Line | 1743 HURON RD
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City | HURON
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State | TN
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Zip | 38345-6939
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Country | US
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Telephone | 731-249-4410
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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 | 16695
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License Number State | TN
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