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General NPI Number Information
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NPI Number | 1346126836
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Entity Type | Individual
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Provider Name | CHRISTOPHER DANIELSEN PMHNP
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Gender | Male
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 6500 WILSHIRE BLVD FL 19
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City | LOS ANGELES
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State | CA
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Zip | 90048-4920
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Country | US
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Telephone | 800-270-9256
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Fax | 805-855-4771
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Provider Business Mailing Address
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Address Line | 4455 SPECTRUM
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City | IRVINE
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State | CA
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Zip | 92618-3384
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Country | US
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Telephone | 951-992-7117
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95036503
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License Number State | CA
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