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General NPI Number Information
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NPI Number | 1285037275
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Entity Type | Individual
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Provider Name | DANIEL ROBERT MITTEER PHD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 1920 BRIARCLIFF RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-4010
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Country | US
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Telephone | 804-731-8028
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 BRIARCLIFF RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-4010
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Country | US
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Telephone | 804-731-8028
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-16-22166
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-16-22166
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License Number State | NJ
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