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General NPI Number Information
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NPI Number | 1386763324
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Entity Type | Individual
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Provider Name | HOLLY LYNNE DALY M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 5352 TWIN HICKORY RD RESOURCE GUIDANCE SERVICES
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5682
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Country | US
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Telephone | 804-592-2793
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Fax | 804-592-2794
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Provider Business Mailing Address
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Address Line | 5352 TWIN HICKORY RD RESOURCE GUIDANCE SERVICES
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5682
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Country | US
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Telephone | 804-592-2793
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Fax | 804-592-2794
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A86463
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 0101251772
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101251772
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A86463
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License Number State | CA
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