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General NPI Number Information
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NPI Number | 1245273465
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Entity Type | Individual
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Provider Name | BRIAN J. DALEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 1932 ALCOA HWY STE 270
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City | KNOXVILLE
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State | TN
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Zip | 37920-1527
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Country | US
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Telephone | 865-251-4658
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Fax | 865-251-4659
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Provider Business Mailing Address
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Address Line | 1932 ALCOA HWY STE 270
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City | KNOXVILLE
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State | TN
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Zip | 37920-1527
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Country | US
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Telephone | 865-251-4658
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Fax | 865-251-4659
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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 | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | MD0000028308
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License Number State | TN
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