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General NPI Number Information
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NPI Number | 1659238491
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Entity Type | Individual
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Provider Name | DANIELLE MORDOCCO
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Gender | Female
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 8261 MARKET ST
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City | BOARDMAN
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State | OH
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Zip | 44512-6254
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Country | US
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Telephone | 330-286-0050
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Fax | 330-286-0055
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Provider Business Mailing Address
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Address Line | 4066 SAINT ANDREWS CT UNIT 2
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City | CANFIELD
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State | OH
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Zip | 44406-8042
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Country | US
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Telephone | 330-286-0050
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Fax | 330-286-0055
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2507338-TRNE
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License Number State | OH
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