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General NPI Number Information
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NPI Number | 1962143248
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Entity Type | Individual
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Provider Name | ZACHARY THOMAS DAILEY MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2022
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 5107 SOUTHPARK DR STE 104
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City | DURHAM
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State | NC
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Zip | 27713-8400
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Country | US
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Telephone | 919-477-6900
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Fax | 919-620-0974
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Provider Business Mailing Address
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Address Line | 2675 WINKLER AVE FL 2
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City | FORT MYERS
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State | FL
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Zip | 33901-9342
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Country | US
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Telephone | 877-856-3774
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2025-02718
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License Number State | NC
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