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General NPI Number Information
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NPI Number | 1346956166
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Entity Type | Individual
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Provider Name | PATRICIA ANN DANIELS LVN
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Gender | Female
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 1133 COLOMA WAY STE C
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City | ROSEVILLE
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State | CA
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Zip | 95661-4480
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Country | US
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Telephone | 916-774-6647
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Fax |
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Provider Business Mailing Address
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Address Line | 7246 REMMET AVE
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City | CANOGA PARK
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State | CA
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Zip | 91303-1531
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Country | US
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Telephone | 818-206-0360
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 043070391
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 699573
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License Number State | CA
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