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General NPI Number Information
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NPI Number | 1083673925
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Entity Type | Individual
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Provider Name | JOHN P. DALY M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 980 JOHNSON FERRY RD NE SUITE 760
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City | ATLANTA
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State | GA
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Zip | 30342-1626
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Country | US
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Telephone | 404-252-0433
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Fax | 404-843-3974
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Provider Business Mailing Address
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Address Line | 5115 NEW PEACHTREE RD SUITE 202
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City | CHAMBLEE
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State | GA
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Zip | 30341-3326
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Country | US
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Telephone | 678-336-5951
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Fax | 678-336-5955
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 037519
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License Number State | GA
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