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Individual
LINDA MARIE DALTON
Active
Individual
LINDA MARIE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006943
NY
363A00000X
Physician Assistant
PA17907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006943
NEW YORK STATE
NY
01
—
PA17907
PA LICENSE NUMBER
CA
Enumeration date
09/20/2006
Last updated
10/14/2010
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