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General NPI Number Information
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NPI Number | 1982994216
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Entity Type | Individual
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Provider Name | ALEXYS R. DAUT M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 401 N CARTER RD STE 201
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City | SMYRNA
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State | DE
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Zip | 19977-1213
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Country | US
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Telephone | 302-514-3371
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Fax | 302-653-3876
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Provider Business Mailing Address
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Address Line | 640 S STATE ST POB 3RD FLOOR
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City | DOVER
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State | DE
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Zip | 19901-3530
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Country | US
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Telephone | 302-480-1688
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Fax | 302-257-5777
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C1-0011051
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License Number State | DE
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