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General NPI Number Information
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NPI Number | 1790572824
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Entity Type | Individual
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Provider Name | DANIELLE M BUTLER
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1410 BONITA AVE
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City | BERKELEY
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State | CA
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Zip | 94709-1909
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Country | US
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Telephone | 510-526-4765
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 ADDISON ST STE 204
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City | BERKELEY
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State | CA
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Zip | 94704-1143
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Country | US
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Telephone | 510-899-7445
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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