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General NPI Number Information
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NPI Number | 1841104791
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Entity Type | Individual
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Provider Name | DALTON DEL MONROE SIBLEY
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Gender | Male
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 951 NICHOLAS ST APT B-H
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-9242
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Country | US
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Telephone | 629-333-5840
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Fax |
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Provider Business Mailing Address
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Address Line | 951 NICHOLAS ST APT B-H
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-9242
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Country | US
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Telephone |
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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 | 146M00000X
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Taxonomy Name | Intermediate Emergency Medical Technician
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License Number | 1124793
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License Number State | KY
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