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General NPI Number Information
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NPI Number | 1780663724
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Entity Type | Individual
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Provider Name | DANIEL ELI NOVAK PHD, MSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 1800 BLANKENSHIP RD STE 200
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City | WEST LINN
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State | OR
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Zip | 97068-4174
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Country | US
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Telephone | 503-462-2839
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Fax | 503-715-4561
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Provider Business Mailing Address
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Address Line | 20687 NOBLE LN
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City | WEST LINN
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State | OR
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Zip | 97068-7223
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Country | US
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Telephone | 208-794-0048
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Fax | 503-715-4561
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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 | L12878
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License Number State | OR
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