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General NPI Number Information
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NPI Number | 1225194368
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Entity Type | Organization
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Legal Business Name | DANIEL J. LONOWSKI, PH. D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/30/2006
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 1605 MURRAY ST SUITE 225
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City | ALEXANDRIA
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State | LA
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Zip | 71301-6890
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Country | US
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Telephone | 318-443-2338
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Fax | 318-443-0258
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Provider Business Mailing Address
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Address Line | 4703 BAYOU COURT DR
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2564
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Country | US
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Telephone | 318-443-2338
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Fax | 318-443-0258
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Authorized Official
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Title or Position | PRESIDENT, CLINICAL PSYCHOLOGIST
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Name | DR. DANIEL JOHN LONOWSKI
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Credential | PH.D.
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Telephone | 318-443-2338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 299
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License Number State | LA
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