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NPI 1235133737

NPI 1235133737 : EMILY LAMBERT DALTON MD : EUREKA, CA

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General NPI Number Information
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    NPI Number           |    1235133737
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY LAMBERT DALTON MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/13/2005
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    Last Update Date     |    10/29/2020
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Provider Practice Location Address
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    Address Line         |    2800 HARRIS ST 
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    City                 |    EUREKA
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    State                |    CA
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    Zip                  |    95503-4809
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    Country              |    US
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    Telephone            |    707-445-8416
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    Fax                  |    707-445-4182
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Provider Business Mailing Address
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    Address Line         |    670 9TH ST STE 203 
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    City                 |    ARCATA
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    State                |    CA
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    Zip                  |    95521-6249
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    Country              |    US
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    Telephone            |    707-826-8633
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    Fax                  |    707-826-8638
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    G76290
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    License Number State |    CA
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