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General NPI Number Information
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NPI Number | 1356463798
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Entity Type | Individual
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Provider Name | THERESA M DALY FNP
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Gender | Female
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Dates
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Enumeration Date | 04/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 622 W 168TH ST PH 14-104 LUNG TRANSPLANT PROGRAM - NYPH
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-7771
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Fax | 212-342-2792
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Provider Business Mailing Address
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Address Line | 66 ELDORADO CT
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City | WHITE PLAINS
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State | NY
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Zip | 10603-1558
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Country | US
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Telephone | 914-993-6498
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Fax | 914-993-6497
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F332082
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License Number State | NY
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