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General NPI Number Information
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NPI Number | 1659907830
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Entity Type | Individual
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Provider Name | DANIELLE M LOPEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 2700 SILVERSIDE RD STE 4
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City | WILMINGTON
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State | DE
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Zip | 19810-3724
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Country | US
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Telephone | 302-299-0786
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Fax |
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Provider Business Mailing Address
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Address Line | 24 GRAND TETON DR
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City | BEAR
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State | DE
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Zip | 19701-1790
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Country | US
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Telephone | 302-299-0786
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0001542
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License Number State | DE
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