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General NPI Number Information
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NPI Number | 1316746670
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Entity Type | Individual
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Provider Name | DANIELLE BRYANT MSW
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 6350 NORTH CENTER DRIVE BULIDING 5 SUITE 106
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City | NORFOLK
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State | VA
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Zip | 23502-2350
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Country | US
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Telephone | 757-559-1690
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Fax | 757-767-7921
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Provider Business Mailing Address
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Address Line | 3049 CLARKE DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-7923
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Country | US
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Telephone | 757-559-1690
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Fax | 757-767-7921
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0906014339
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License Number State | VA
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