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General NPI Number Information
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NPI Number | 1972898302
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Entity Type | Individual
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Provider Name | JAMES BYRON DALE III RPH
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Gender | Male
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 297 GRANT AVE
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City | AUBURN
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State | NY
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Zip | 13021-1407
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Country | US
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Telephone | 315-255-3867
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Fax |
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Provider Business Mailing Address
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Address Line | 62 E ELIZABETH ST
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City | SKANEATELES
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State | NY
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Zip | 13152-1338
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 033746
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License Number State | NY
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