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General NPI Number Information
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NPI Number | 1417430190
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Entity Type | Individual
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Provider Name | KANDACE M DALTON APN
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Gender | Female
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 8384 BAYMEADOWS RD STE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7486
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Country | US
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Telephone | 904-776-5846
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Fax |
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Provider Business Mailing Address
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Address Line | 222 22ND AVE N
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City | NASHVILLE
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State | TN
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Zip | 37203-1852
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Country | US
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Telephone | 629-255-3486
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Fax |
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 4704410354
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 187452
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024190006
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11012993
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | APRN11012993
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24713
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | AP61593686
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 987178
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 0024190006
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License Number State | VA
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61593686
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License Number State | WA
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704410354
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License Number State | MI
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