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General NPI Number Information
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NPI Number | 1316995400
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Entity Type | Individual
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Provider Name | DALTON SINGLETARY MCLEAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 1126 N CHURCH ST STE300
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City | GREENSBORO
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State | NC
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Zip | 27401-1000
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Country | US
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Telephone | 336-547-1752
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Fax | 336-547-1858
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Provider Business Mailing Address
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Address Line | 1200 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1004
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Country | US
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Telephone | 336-832-7000
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Fax | 336-851-8427
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2009-00502
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 200900502
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 200900502
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License Number State | NC
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