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General NPI Number Information
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NPI Number | 1871453506
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Entity Type | Organization
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Legal Business Name | DANIEL FUNK PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 163 WINNER AVE
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City | COLUMBUS
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State | OH
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Zip | 43203-1656
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Country | US
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Telephone | 382-222-4327
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Fax | 470-227-8522
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Provider Business Mailing Address
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Address Line | 163 WINNER AVE
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City | COLUMBUS
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State | OH
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Zip | 43203-1656
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Country | US
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Telephone | 382-222-4327
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Fax | 470-227-8522
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL FUNK
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Credential | PMHNP
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Telephone | 380-222-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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