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General NPI Number Information
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NPI Number | 1992617740
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Entity Type | Individual
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Provider Name | DANIELLE NICOLE PENDALL RN, WTA-C
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 128 RACE TRACK RD
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City | NEW HOPE
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State | AL
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Zip | 35760-9316
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Country | US
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Telephone | 256-660-9897
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Fax | 256-660-9897
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Provider Business Mailing Address
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Address Line | 128 RACE TRACK RD
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City | NEW HOPE
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State | AL
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Zip | 35760-9316
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Country | US
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Telephone | 256-660-9897
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Fax | 256-660-9897
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 1-104510
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License Number State | AL
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