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General NPI Number Information
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NPI Number | 1609187814
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Entity Type | Individual
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Provider Name | DANIEL THEODOR DAMIAN PSYD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 5550 FRIENDSHIP BLVD STE 590
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City | CHEVY CHASE
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State | MD
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Zip | 20815-7310
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Country | US
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Telephone | 410-757-2077
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 675366
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City | DETROIT
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State | MI
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Zip | 48267-5366
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 07012
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License Number State | MD
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