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General NPI Number Information
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NPI Number | 1619823978
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Entity Type | Individual
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Provider Name | MR. DANIEL NIACAN
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Gender | Male
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 5715 S BROADWAY
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City | LOS ANGELES
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State | CA
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Zip | 90037-4131
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Country | US
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Telephone | 323-948-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 10560 WILKINS AVE
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City | LOS ANGELES
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State | CA
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Zip | 90024-6033
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Country | US
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Telephone | 310-503-0462
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | R1419380425
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License Number State | CA
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