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General NPI Number Information
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NPI Number | 1235462854
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Entity Type | Individual
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Provider Name | DANIEL G. CRAIG MA, OTR/L, MT-BC
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Gender | Male
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 780 WINCHESTER AVE UNIT A
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City | NEW HAVEN
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State | CT
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Zip | 06511-1131
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Country | US
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Telephone | 773-868-7837
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Fax |
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Provider Business Mailing Address
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Address Line | 780 WINCHESTER AVE UNIT A
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City | NEW HAVEN
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State | CT
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Zip | 06511-1131
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Country | US
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Telephone | 773-868-7837
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 08585
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 004852
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056.007751
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License Number State | IL
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