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General NPI Number Information
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NPI Number | 1497640841
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Entity Type | Individual
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Provider Name | ANSLEIGH DAILEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 309 W 10TH ST NE
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City | ROME
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State | GA
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Zip | 30165-2638
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Country | US
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Telephone | 706-203-5782
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12938
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City | CALHOUN
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State | GA
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Zip | 30703-7013
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Country | US
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Telephone | 706-602-7800
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 13112
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License Number State | GA
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