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General NPI Number Information
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NPI Number | 1861546731
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Entity Type | Individual
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Provider Name | JOHN GEORGE DANIELS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 4 14TH ST # 125
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City | HOBOKEN
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State | NJ
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Zip | 07030-6791
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Country | US
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Telephone | 407-973-5770
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Fax |
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Provider Business Mailing Address
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Address Line | 4 14TH ST # 125
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City | HOBOKEN
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State | NJ
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Zip | 07030-6791
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Country | US
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Telephone | 407-973-5770
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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 | PY5185
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License Number State | FL
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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 | 35SI00717700
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License Number State | NJ
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