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General NPI Number Information
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NPI Number | 1336965136
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Entity Type | Organization
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Legal Business Name | DANIEL LMSW, PLLC
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 927 WILLIS AVE
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City | ALBERTSON
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State | NY
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Zip | 11507-1924
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Country | US
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Telephone | 631-486-0741
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Fax |
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Provider Business Mailing Address
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Address Line | 1399 HEMPSTEAD TPKE # 1061
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City | ELMONT
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State | NY
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Zip | 11003-2404
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Country | US
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Telephone | 631-486-0741
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED MASTER SOCIAL WORKER
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Name | DR. DEXTER CLAUDE DANIEL
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Credential | DSW, LMSW
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Telephone | 631-486-0741
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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 |
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License Number State |
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