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General NPI Number Information
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NPI Number | 1013732833
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Entity Type | Organization
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Legal Business Name | VIRGINIA PAIN AND RESTORATIVE HEALTH
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 3781 WESTERRE PKWY STE E
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City | RICHMOND
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State | VA
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Zip | 23233-1328
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Country | US
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Telephone | 804-461-3637
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Fax | 804-847-4813
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Provider Business Mailing Address
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Address Line | 2924 GLEN GARY DR
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City | HENRICO
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State | VA
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Zip | 23233-7703
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Country | US
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Telephone | 610-517-6160
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. TINA DAILEY
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Credential | DO
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Telephone | 610-517-6160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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