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General NPI Number Information
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NPI Number | 1821937210
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Entity Type | Individual
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Provider Name | SCHQUWANNA L DANIELS
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Gender | Female
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 2443 MADRID DR S
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City | AUGUSTA
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State | GA
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Zip | 30906-4080
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Country | US
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Telephone | 706-414-9863
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Fax |
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Provider Business Mailing Address
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Address Line | 914 BEMAN ST
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City | AUGUSTA
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State | GA
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Zip | 30904-3813
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Country | US
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Telephone |
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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 | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number | 621511
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License Number State | GA
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