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General NPI Number Information
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NPI Number | 1942322524
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Entity Type | Individual
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Provider Name | CLAUDETTE ELLIS DALTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 235 CANTRELL AVE
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City | HARRISONBURG
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State | VA
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Zip | 22801-3248
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Country | US
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Telephone | 540-437-7971
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Fax | 540-433-4534
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Provider Business Mailing Address
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Address Line | 3474 BLEAK HOUSE RD
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City | EARLYSVILLE
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State | VA
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Zip | 22936-2213
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Country | US
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Telephone | 434-974-1844
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Fax | 434-974-1783
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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 | 0101043234
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 26435
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License Number State | NC
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