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General NPI Number Information
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NPI Number | 1437481108
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Entity Type | Individual
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Provider Name | JAMES DARRELL DAILEY JR. DMD
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Gender | Male
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 1105 N. LAFEYETTE DR. SUITE C
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City | SUMTER
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State | SC
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Zip | 29150-2964
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Country | US
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Telephone | 803-774-3600
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Fax | 803-774-4560
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Provider Business Mailing Address
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Address Line | 1105 N. LAFEYETTE DR. SUITE C
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City | SUMTER
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State | SC
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Zip | 29150-2964
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Country | US
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Telephone | 803-774-3600
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Fax | 803-774-4560
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2631
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License Number State | SC
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