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General NPI Number Information
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NPI Number | 1891106415
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Entity Type | Individual
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Provider Name | DANIELLE KASSELLA ARNP, PMHNP-BC FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 1000 SE MONTEREY COMMONS BLVD STE 104
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City | STUART
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State | FL
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Zip | 34996-3327
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Country | US
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Telephone | 772-882-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 13780 SE 46TH ST
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City | OKEECHOBEE
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State | FL
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Zip | 34974-1014
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Country | US
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Telephone | 863-634-2672
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP2917662
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN2917662
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License Number State | FL
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