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General NPI Number Information
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NPI Number | 1518013168
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Entity Type | Individual
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Provider Name | DANIEL D. MAHER LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 3539 N WILLIAMS AVE STE 202A
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City | PORTLAND
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State | OR
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Zip | 97227-1437
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Country | US
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Telephone | 617-651-1834
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Fax |
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Provider Business Mailing Address
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Address Line | 33 N BEECH ST APT 406
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City | PORTLAND
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State | OR
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Zip | 97227-2015
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Country | US
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Telephone | 617-651-1834
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 115635
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L7039
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License Number State | OR
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