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General NPI Number Information
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NPI Number | 1326084880
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Entity Type | Organization
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Legal Business Name | JOHN E. DANIELS MD SC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 10201 W LINCOLN AVE SUITE 100
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City | WEST ALLIS
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State | WI
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Zip | 53227-2136
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Country | US
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Telephone | 414-328-8798
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Fax |
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Provider Business Mailing Address
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Address Line | 10201 W LINCOLN AVE SUITE 100
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City | WEST ALLIS
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State | WI
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Zip | 53227-2136
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Country | US
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Telephone | 414-328-8798
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN E DANIELS
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Credential | MD
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Telephone | 414-328-8798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 42130
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License Number State | WI
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