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General NPI Number Information
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NPI Number | 1801342621
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Entity Type | Individual
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Provider Name | WILLIAM DANIELS JR. B.S., EPC
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Gender | Male
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 600 N. JORDAN AVE.
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City | BLOOMINGTON
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State | IN
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Zip | 47405
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Country | US
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Telephone | 812-855-7338
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 335
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City | STINESVILLE
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State | IN
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Zip | 47464
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Country | US
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Telephone | 317-626-2401
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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