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General NPI Number Information
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NPI Number | 1962372136
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Entity Type | Individual
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Provider Name | DANIEL ATKINS
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Gender | Male
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 540 SEAWANEKA AVE
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City | OCEANPORT
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State | NJ
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Zip | 07757-1766
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Country | US
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Telephone | 908-309-7619
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Fax |
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Provider Business Mailing Address
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Address Line | 540 SEAWANEKA AVE
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City | OCEANPORT
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State | NJ
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Zip | 07757-1766
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071.010612
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License Number State | IL
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