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General NPI Number Information
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NPI Number | 1891405916
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Entity Type | Individual
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Provider Name | DANIELLE LORIEL GIBSON APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 9049 SPRINGBORO PIKE
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City | MIAMISBURG
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State | OH
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Zip | 45342-4926
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Country | US
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Telephone | 937-759-0545
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Fax |
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Provider Business Mailing Address
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Address Line | 611 SAINT JOSEPH AVE APT 6B3
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City | DAYTON
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State | OH
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Zip | 45410-2264
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Country | US
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Telephone | 937-321-4355
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 509821
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 509821
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 509821
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0043398
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License Number State | OH
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