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General NPI Number Information
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NPI Number | 1639824782
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Entity Type | Individual
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Provider Name | DANIEL FRANCISCO ENRIQUEZ MA, CRC
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Gender | Male
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1601 E FOURTH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98661-3713
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Country | US
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Telephone | 503-928-0910
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Fax |
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Provider Business Mailing Address
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Address Line | 3443 N CENTRAL AVE STE 101
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City | PHOENIX
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State | AZ
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Zip | 85012-2229
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Country | US
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Telephone | 928-210-3961
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LAC-23371
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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