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General NPI Number Information
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NPI Number | 1518246107
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Entity Type | Individual
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Provider Name | STACI DEANNA DANIELS-SOMMERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 24509 WALNUT ST STE 201
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City | NEWHALL
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State | CA
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Zip | 91321-2846
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Country | US
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Telephone | 661-765-8426
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1385
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City | CANYON COUNTRY
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State | CA
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Zip | 91386-1385
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Country | US
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Telephone | 248-884-2008
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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 | 6801093264
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License Number State | MI
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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 | 89476
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License Number State | CA
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