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General NPI Number Information
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NPI Number | 1437646874
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Entity Type | Individual
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Provider Name | ELISSA CASHMAN DALTON
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Gender | Female
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1098 W BALTIMORE PIKE SUITE 3802 RHC 3
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City | MEDIA
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State | PA
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Zip | 19063-5139
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Country | US
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Telephone | 610-520-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 1098 W BALTIMORE PIKE STE 3402
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City | MEDIA
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State | PA
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Zip | 19063-5139
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Country | US
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Telephone | 610-520-0700
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD481202
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | MD481202
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License Number State | PA
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