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General NPI Number Information
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NPI Number | 1538674130
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Entity Type | Organization
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Legal Business Name | DANIELLE NAHAS PROFESSIONAL ASSOCIATION
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 2108 N ST # 10258
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 415-902-7879
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 E LAS OLAS BLVD # 1079
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City | FT LAUDERDALE
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State | FL
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Zip | 33301-2334
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Country | US
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Telephone | 415-902-7879
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Fax | 858-437-6450
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Authorized Official
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Title or Position | CALIFORNIA LICENSED PSYCHOLOGIST
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Name | DR. DANIELLE NAHAS
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Credential | PSYD
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Telephone | 415-902-7879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-13-13509
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 27313
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License Number State | CA
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