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General NPI Number Information
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NPI Number | 1477495497
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Entity Type | Individual
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Provider Name | CORNELIUS ADDUN DALOG II
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Gender | Male
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 1100 ALLIED DR FL 4
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City | PLANO
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State | TX
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Zip | 75093-5348
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Country | US
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Telephone | 469-892-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 2580 COLLIN MCKINNEY PKWY APT 2926
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City | MCKINNEY
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State | TX
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Zip | 75070-5227
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Country | US
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Telephone | 945-333-8181
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1218562
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License Number State | TX
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