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NPI Code Detail

MEDICARE: DANIEL LEE MARSHALL BSS

MEDICARE: DANIEL LEE MARSHALL BSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1811140890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL LEE MARSHALL BSS
Provider Business Mailing Address
First Line : 103 NORTH ST
Second Line :
City : BRISTOL
State : VA
Zip : 24201-3201
Country : US
Telephone Number : 276-844-6000
Fax Number : 423-467-3644
Provider Business Practice Location Address
First Line : 1167 SPRATLIN PARK DR
Second Line :
City : GRAY
State : TN
Zip : 37615-6205
Country : US
Telephone Number : 423-467-3721
Fax Number : 423-467-3644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2008
Last Update Date : 11/04/2008

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Directions to “ DANIEL LEE MARSHALL BSS” Practice Location

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