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General NPI Number Information
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NPI Number | 1366146235
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Entity Type | Individual
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Provider Name | DANIELLE RAYS
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 109 ANNA AVE
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City | BLANDON
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State | PA
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Zip | 19510-9311
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Country | US
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Telephone | 610-926-1233
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Fax |
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Provider Business Mailing Address
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Address Line | 355 LACKAWANNA ST APT 5-3
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City | READING
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State | PA
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Zip | 19601-1528
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Country | US
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Telephone | 917-647-3681
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS044459
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License Number State | PA
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