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General NPI Number Information
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NPI Number | 1417905043
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Entity Type | Individual
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Provider Name | RICHARD J DANIELS MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 54 BEY LEA RD SUITE 1
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City | TOMS RIVER
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State | NJ
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Zip | 08753-2978
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Country | US
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Telephone | 732-616-1801
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Fax | 215-744-6724
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Provider Business Mailing Address
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Address Line | PO BOX 5220
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City | TOMS RIVER
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State | NJ
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Zip | 08754-5220
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Country | US
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Telephone | 732-349-3838
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Fax | 732-349-2233
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 4301510207
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD057930L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 25MA06910800
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License Number State | NJ
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