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General NPI Number Information
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NPI Number | 1891833398
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Entity Type | Individual
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Provider Name | DANIEL L DELLATORRE MD
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5454 WISCONSIN AVENUE SUITE #855
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6926
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Country | US
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Telephone | 301-652-2585
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Fax | 301-652-0380
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Provider Business Mailing Address
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Address Line | 5454 WISCONSIN AVENUE SUITE #855
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6926
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Country | US
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Telephone | 301-652-2585
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Fax | 301-652-0380
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D23131
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License Number State | MD
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