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General NPI Number Information
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NPI Number | 1922505676
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Entity Type | Individual
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Provider Name | DANIEL POOLE
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Gender | Male
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 8091 RIVERS AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9236
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Country | US
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Telephone | 843-572-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 HENDERSON ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2619
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Country | US
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Telephone | 803-782-4278
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101279918
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 93979
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 333412
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 333412
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License Number State | LA
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