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General NPI Number Information
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NPI Number | 1083854699
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Entity Type | Individual
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Provider Name | DAVID PAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 1880 RESERVOIR ST STE A
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City | HARRISONBURG
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State | VA
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Zip | 22801-8832
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Country | US
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Telephone | 540-920-2020
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Fax | 540-920-0828
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Provider Business Mailing Address
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Address Line | 1880 RESERVOIR ST STE A
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City | HARRISONBURG
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State | VA
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Zip | 22801-8832
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Country | US
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Telephone | 540-920-2020
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Fax | 540-920-0828
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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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 0101247898
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License Number State | VA
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