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General NPI Number Information
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NPI Number | 1154569812
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Entity Type | Organization
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Legal Business Name | DARYL K. DANIEL, M.D., P.A.
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 4915 SOUTH MAIN SUITE 102
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City | STAFFORD
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State | TX
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Zip | 77477-4601
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Country | US
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Telephone | 800-604-6007
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Fax | 713-456-2271
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Provider Business Mailing Address
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Address Line | P.O. BOX 35199
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City | HOUSTON
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State | TX
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Zip | 77235-5199
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Country | US
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Telephone | 281-808-5710
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Fax | 713-456-2271
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Authorized Official
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Title or Position | PRESIDENT
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Name | DARYL K DANIEL
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Credential | M.D.
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Telephone | 281-808-5710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J5981
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License Number State | TX
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