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General NPI Number Information
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NPI Number | 1831137819
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Entity Type | Individual
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Provider Name | DANIEL M THAILER MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 2825 RANDOLPH RD
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City | CHARLOTTE
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State | NC
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Zip | 28211-1018
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Country | US
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Telephone | 973-492-8402
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Fax | 828-327-4245
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Provider Business Mailing Address
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Address Line | 21 SHIRLEY TERRACE
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City | KINNELON
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State | NJ
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Zip | 07405
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Country | US
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Telephone | 973-493-2605
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2010-00405
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License Number State | NC
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