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General NPI Number Information
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NPI Number | 1811247083
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Entity Type | Individual
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Provider Name | JOANNA DALY OD
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Gender | Female
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 16750 S TOWNSEND AVE
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City | MONTROSE
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State | CO
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Zip | 81401-5410
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Country | US
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Telephone | 970-240-0439
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Fax |
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Provider Business Mailing Address
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Address Line | 16750 S TOWNSEND AVE
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City | MONTROSE
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State | CO
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Zip | 81401-5410
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Country | US
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Telephone | 970-249-0841
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Fax | 970-240-7317
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2921
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License Number State | CO
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