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General NPI Number Information
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NPI Number | 1679015200
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Entity Type | Individual
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Provider Name | DANIELLE CHRISTINE DARDEN MS, LBSC, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 2630 W CHELTENHAM AVE FL 1
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City | PHILADELPHIA
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State | PA
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Zip | 19150-1311
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Country | US
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Telephone | 215-341-1020
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Fax | 267-627-2848
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Provider Business Mailing Address
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Address Line | 87 OLD CEDARBROOK RD
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City | WYNCOTE
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State | PA
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Zip | 19095-2045
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Country | US
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Telephone | 215-341-1020
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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 | BH002753
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC014251
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License Number State | PA
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