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General NPI Number Information
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NPI Number | 1831120138
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Entity Type | Individual
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Provider Name | DAVID GARY DALY D.C.
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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 | 12/09/2020
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Provider Practice Location Address
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Address Line | 2708 GARDEN ST
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City | TITUSVILLE
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State | FL
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Zip | 32796-3120
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Country | US
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Telephone | 321-267-4324
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Fax | 321-267-7908
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Provider Business Mailing Address
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Address Line | 2708 GARDEN ST
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City | TITUSVILLE
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State | FL
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Zip | 32796-3120
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Country | US
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Telephone | 321-267-4324
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Fax | 321-267-7908
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 7728
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License Number State | FL
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