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General NPI Number Information
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NPI Number | 1073802252
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Entity Type | Individual
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Provider Name | ELIZABETH MARIE DALY M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1100 E HECTOR ST STE 105
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-2320
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Country | US
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Telephone | 610-828-2608
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Fax | 610-828-0102
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Provider Business Mailing Address
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Address Line | 3803 W CHESTER PIKE STE 160
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-2336
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Country | US
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Telephone | 610-828-2608
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Fax | 610-828-0102
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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 | MD451489
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License Number State | PA
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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 | C1-0011021
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License Number State | DE
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