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General NPI Number Information
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NPI Number | 1790788180
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Entity Type | Individual
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Provider Name | JAMES A DALTON PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 1279 OLD ABBOTT MOUNTAIN RD
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City | PRESTONSBURG
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State | KY
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Zip | 41653
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Country | US
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Telephone | 606-886-0892
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Fax | 606-886-9746
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Provider Business Mailing Address
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Address Line | 1573 MALLORY LN STE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-2895
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Country | US
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Telephone | 615-221-3855
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Fax | 615-221-1484
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA682
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License Number State | KY
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