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General NPI Number Information
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NPI Number | 1598984189
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Entity Type | Individual
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Provider Name | BRIAN WILLIAM DALEY D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 2232 S MAIN ST STE 405
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City | ANN ARBOR
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State | MI
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Zip | 48103-6938
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Country | US
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Telephone | 734-972-0274
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Fax |
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Provider Business Mailing Address
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Address Line | 2232 S MAIN ST STE 405
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City | ANN ARBOR
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State | MI
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Zip | 48103-6938
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Country | US
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Telephone | 734-972-0274
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901002205
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901002205
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License Number State | MI
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