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General NPI Number Information
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NPI Number | 1205649712
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Entity Type | Individual
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Provider Name | REBECCA M DANIEL PHARMD., BCPS
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 6071 W OUTER DR
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City | DETROIT
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State | MI
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Zip | 48235-2624
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Country | US
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Telephone | 313-966-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 540 ARDEN PARK BLVD
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City | DETROIT
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State | MI
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Zip | 48202-1304
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Country | US
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Telephone | 248-496-0552
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 5302039635
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License Number State | MI
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