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General NPI Number Information
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NPI Number | 1750633715
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Entity Type | Organization
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Legal Business Name | DAWN DANIELS LCSW LLC
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 10105 LAKE DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-3823
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Country | US
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Telephone | 727-207-5682
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Fax |
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Provider Business Mailing Address
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Address Line | 10105 LAKE DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-3823
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Country | US
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Telephone | 727-207-5682
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | DAWN DANIELS HAHN
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Credential | LCSW
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Telephone | 727-207-5682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | SW8741
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License Number State | FL
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