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General NPI Number Information
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NPI Number | 1588038087
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Entity Type | Individual
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Provider Name | SYLVIA ROSALIE DALEY LADCI, RN, CADACII
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Gender | Female
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 68 NO. FRONT ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740
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Country | US
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Telephone | 978-992-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 125 COTTAGE ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-3614
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Country | US
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Telephone | 978-340-4640
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Fax | 774-202-2441
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 207
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License Number State | MA
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