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General NPI Number Information
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NPI Number | 1790557437
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Entity Type | Individual
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Provider Name | DANIEL CHARLES STALLONE PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 9600 VETERANS DR SW
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City | TACOMA
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State | WA
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Zip | 98493-0003
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Country | US
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Telephone | 253-582-8440
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Fax |
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Provider Business Mailing Address
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Address Line | 9600 VETERANS DR SW # A-116MHS
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City | TACOMA
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State | WA
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Zip | 98493-0003
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Country | US
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Telephone | 253-582-8440
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY61659694
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 026098
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY61659694
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | PY61659694
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 026098
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 026098
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License Number State | NY
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