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General NPI Number Information
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NPI Number | 1235067885
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Entity Type | Individual
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Provider Name | DANIEL JOSEPH MEDIA RN, BSN
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Gender | Male
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 42198 WILLSHARON ST
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-3074
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Country | US
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Telephone | 586-469-5214
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Fax | 586-469-6636
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Provider Business Mailing Address
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Address Line | 42198 WILLSHARON ST
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-3074
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Country | US
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Telephone | 586-469-5214
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Fax | 586-469-6636
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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 | 207ZF0201X
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Taxonomy Name | Forensic Pathology Physician
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License Number | 4704173412
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License Number State | MI
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