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General NPI Number Information
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NPI Number | 1518064807
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Entity Type | Individual
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Provider Name | DANIEL WILLIAM JAMES MA
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4425 JAMBOREE RD STE 270
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-3003
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Country | US
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Telephone | 949-584-2532
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Fax |
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Provider Business Mailing Address
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Address Line | 4425 JAMBOREE ROAD SUITE 270
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2840
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Country | US
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Telephone | 949-584-2532
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC809
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | LMFT36747
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License Number State | CA
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