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General NPI Number Information
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NPI Number | 1336159938
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Entity Type | Individual
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Provider Name | DANIEL AARON KODNER MD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 6707 35TH PL S
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City | SEATTLE
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State | WA
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Zip | 98118-6454
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Country | US
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Telephone | 206-552-0312
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Fax | 206-338-9960
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Provider Business Mailing Address
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Address Line | 4742 42ND AVE SW # 412
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City | SEATTLE
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State | WA
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Zip | 98116-4553
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Country | US
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Telephone | 206-552-0312
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Fax | 206-338-9960
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C52500
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 11802
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00036116
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License Number State | WA
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