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General NPI Number Information
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NPI Number | 1487093282
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Entity Type | Individual
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Provider Name | MARY DALEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 200 BOWMAN DR FL 2
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City | VOORHEES
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State | NJ
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Zip | 08043-9623
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Country | US
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Telephone | 215-590-1527
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E PENN SQ FL 9
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City | PHILADELPHIA
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State | PA
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Zip | 19107-3377
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 256114
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 25MA10901000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 256114
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 25MA10901000
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | MD471811
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License Number State | PA
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