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NPI 1881461457

NPI 1881461457 : CLAUDIA E DANIEL ED.D, NCSE, CACII : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1881461457
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    Entity Type          |    Individual 
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    Provider Name        |    CLAUDIA E DANIEL ED.D, NCSE, CACII
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/05/2023
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    Last Update Date     |    12/05/2023
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Provider Practice Location Address
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    Address Line         |    2563 MARTIN LUTHER KING JR DR SW 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30311-1715
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    Country              |    US
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    Telephone            |    404-699-7774
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    Fax                  |    404-699-7774
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Provider Business Mailing Address
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    Address Line         |    23 MARVIN GDNS 
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    City                 |    SHARPSBURG
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    State                |    GA
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    Zip                  |    30277-6951
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    Country              |    US
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    Telephone            |    703-507-9402
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    3534-R
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    License Number State |    GA
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