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General NPI Number Information
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NPI Number | 1699907683
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Entity Type | Individual
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Provider Name | CRAIG LAMAR MC DANIEL
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Gender | Male
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Dates
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Enumeration Date | 08/10/2009
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Last Update Date | 08/10/2009
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Provider Practice Location Address
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Address Line | 18945 FM 2252 STE 115
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2797
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Country | US
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Telephone | 760-270-0264
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Fax |
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Provider Business Mailing Address
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Address Line | 2534 FIELDCREST PL
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City | ESCONDIDO
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State | CA
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Zip | 92027-3521
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Country | US
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Telephone | 760-270-0264
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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 | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | RHB86717
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | 413109
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License Number State | MN
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