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General NPI Number Information
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NPI Number | 1629680392
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Entity Type | Individual
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Provider Name | DANIELLE HALASZ OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/23/2020
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1157 BEACH BLVD
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-3445
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Country | US
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Telephone | 904-450-5061
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Fax |
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Provider Business Mailing Address
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Address Line | 1661 RIVERSIDE AVE APT 320
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4025
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Country | US
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Telephone | 904-566-7888
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 19468
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License Number State | FL
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