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General NPI Number Information
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NPI Number | 1366993552
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Entity Type | Organization
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Legal Business Name | DANIELS DYNASTY, INC.
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Dates
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Enumeration Date | 10/22/2016
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Last Update Date | 10/22/2016
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Provider Practice Location Address
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Address Line | 151 W 123RD ST APT 1C
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City | NEW YORK
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State | NY
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Zip | 10027-5519
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Country | US
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Telephone | 646-342-0069
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Fax | 212-662-1695
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Provider Business Mailing Address
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Address Line | 151 W 123RD ST APT 1C
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City | NEW YORK
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State | NY
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Zip | 10027-5519
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Country | US
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Telephone |
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Fax | 212-662-1695
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Authorized Official
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Title or Position | CEO
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Name | DR. ANGELA MILES DANIELS
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Credential |
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Telephone | 646-342-0069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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