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General NPI Number Information
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NPI Number | 1992159206
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Entity Type | Individual
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Provider Name | MICHAEL NADAIR DALEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 1901 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-3714
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Country | US
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Telephone | 312-864-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 361 DARRAGH ST APT 203
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City | PITTSBURGH
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State | PA
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Zip | 15213-2553
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Country | US
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Telephone | 646-942-8789
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036.149495
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 3821646
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License Number State | PA
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