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General NPI Number Information
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NPI Number | 1477480010
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Entity Type | Individual
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Provider Name | DALTON KINCAID
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Gender | Male
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 502 MAIN ST W
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City | OAK HILL
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State | WV
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Zip | 25901-3416
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Country | US
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Telephone | 681-823-4257
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Fax |
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Provider Business Mailing Address
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Address Line | 123 MAHAN ST
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City | FAYETTEVILLE
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State | WV
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Zip | 25840-1125
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Country | US
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Telephone | 304-763-6683
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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