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General NPI Number Information
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NPI Number | 1295440345
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Entity Type | Individual
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Provider Name | SHAWN DANIELS LMSW
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Gender | Male
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 1608 WILLIAMS DR STE 301
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City | MURFREESBORO
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State | TN
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Zip | 37129-3195
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Country | US
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Telephone | 615-656-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 113 THYME LN
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City | BELL BUCKLE
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State | TN
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Zip | 37020-4886
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Country | US
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Telephone | 757-685-4861
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 14311
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License Number State | TN
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