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General NPI Number Information
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NPI Number | 1174693402
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Entity Type | Individual
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Provider Name | DOROTHY LYNN DALTON-SHERIDAN DC
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 800 S FREDERICK AVE STE 213
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City | GAITHERSBURG
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State | MD
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Zip | 20877-4152
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Country | US
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Telephone | 301-330-2000
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Fax | 301-330-2002
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Provider Business Mailing Address
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Address Line | 316 SUMMIT HALL RD
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1824
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Country | US
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Telephone | 301-921-9271
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | S01279
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License Number State | MD
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