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General NPI Number Information
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NPI Number | 1659157071
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Entity Type | Individual
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Provider Name | JACOB ISAAC DALTON DDS
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Gender | Male
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Dates
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Enumeration Date | 09/01/2023
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | NAVAL BRANCH HEALTH CLINIC KEY WEST 1300 DOUGLAS CIRCLE
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City | KEY WEST
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State | FL
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Zip | 33040
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Country | US
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Telephone | 305-293-4600
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Fax |
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Provider Business Mailing Address
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Address Line | NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET
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City | JACKSONVILLE
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State | FL
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Zip | 32214-0001
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Country | US
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Telephone | 904-542-4677
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 13565397
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 39996
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License Number State | TX
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