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General NPI Number Information
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NPI Number | 1396289971
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Entity Type | Individual
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Provider Name | DANIELLE ROSE ROBERTSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/15/2016
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 5411 GRAND BLVD STE 109
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4010
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Country | US
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Telephone | 727-222-0733
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Fax | 813-867-7079
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Provider Business Mailing Address
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Address Line | 5411 GRAND BLVD STE 109A
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4010
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Country | US
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Telephone | 727-222-0733
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW17553
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License Number State | FL
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