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General NPI Number Information
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NPI Number | 1992849558
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Entity Type | Individual
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Provider Name | DANIEL O. DADA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 230 E 24TH ST
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City | CHESTER
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State | PA
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Zip | 19013-4634
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Country | US
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Telephone | 610-874-6553
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Fax | 610-874-6653
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Provider Business Mailing Address
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Address Line | 1120 BELVEDERE RD
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City | BOOTHWYN
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State | PA
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Zip | 19061-1523
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Country | US
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Telephone | 610-358-0588
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD030353-E
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License Number State | PA
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