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General NPI Number Information
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NPI Number | 1144494832
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Entity Type | Individual
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Provider Name | DENNAE DALTON PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 6639 WHITESTOWN PKWY
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City | ZIONSVILLE
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State | IN
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Zip | 46077-7622
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Country | US
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Telephone | 317-732-8980
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Fax | 317-732-8979
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Provider Business Mailing Address
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Address Line | 111 NEW HAMPSHIRE AVE STE 2
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City | PORTSMOUTH
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State | NH
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Zip | 03801-2864
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Country | US
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Telephone | 330-947-6021
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 10000725A
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License Number State | IN
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