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General NPI Number Information
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NPI Number | 1396281473
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Entity Type | Individual
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Provider Name | GERALD DANIELS SR. LSW
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Gender | Male
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 525 METRO PL N STE 300
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City | DUBLIN
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State | OH
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Zip | 43017-5320
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Country | US
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Telephone | 855-289-1722
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Fax |
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Provider Business Mailing Address
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Address Line | 858 E AVONDALE AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44502-2417
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Country | US
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Telephone | 330-744-2991
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1600924
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OH
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