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General NPI Number Information
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NPI Number | 1962122978
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Entity Type | Individual
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Provider Name | DANIEL DOOLEY
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Gender | Male
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 2273 W GOLDEN WEST AVE
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City | ANAHEIM
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State | CA
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Zip | 92804-6427
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Country | US
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Telephone | 714-299-5834
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Fax |
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Provider Business Mailing Address
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Address Line | 1855 W KATELLA AVE
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City | ORANGE
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State | CA
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Zip | 92867-3451
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Country | US
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Telephone | 714-620-8131
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 711629
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License Number State | CA
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