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NPI Code Detail

MEDICARE: CANDICE DANIELS

MEDICARE:   CANDICE  DANIELS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistNC

General Provider Information

NPI Number : 1952230468
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE DANIELS
Provider Business Mailing Address
First Line : 120 KATRINE WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27603-5676
Country : US
Telephone Number : 984-800-1869
Fax Number :
Provider Business Practice Location Address
First Line : 120 KATRINE WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27603-5676
Country : US
Telephone Number : 984-800-1869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ CANDICE DANIELS ” Practice Location

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