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General NPI Number Information
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NPI Number | 1770514184
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Entity Type | Individual
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Provider Name | CHESTER ANTHONY DILALLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 7500 GREENWAY CENTER DR SUITE 520
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City | GREENBELT
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State | MD
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Zip | 20770-3502
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Country | US
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Telephone | 301-220-2127
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 79757
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City | BALTIMORE
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State | MD
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Zip | 21279-0757
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Country | US
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Telephone | 443-274-2900
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Fax | 443-274-2391
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101020336
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D0010535
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD5004
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License Number State | DC
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