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General NPI Number Information
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NPI Number | 1417997719
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Entity Type | Individual
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Provider Name | JAMES DALZELL MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 801 NEW RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1610
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Country | US
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Telephone | 609-407-5055
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Fax | 609-407-5056
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Provider Business Mailing Address
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Address Line | 411 NEW RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1648
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Country | US
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Telephone | 609-383-6033
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Fax | 609-383-1548
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA05776800
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License Number State | NJ
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