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General NPI Number Information
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NPI Number | 1386058089
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Entity Type | Individual
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Provider Name | DANIEL JOHN HOUSKAMP MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1165 CEDAR POINT BLVD STE M
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City | CEDAR POINT
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State | NC
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Zip | 28584-1030
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Country | US
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Telephone | 252-808-4445
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Fax |
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Provider Business Mailing Address
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Address Line | 1165 CEDAR POINT BLVD
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City | CEDAR POINT
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State | NC
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Zip | 28584-1029
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Country | US
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Telephone | 252-808-3100
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Fax | 910-251-0421
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2021-03289
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License Number State | NC
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