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General NPI Number Information
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NPI Number | 1114978178
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Entity Type | Organization
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Legal Business Name | ENDOCRINE CARE & EDUCATION CENTER, PLLC
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 7533 WILLIAMSON RD NW
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City | ROANOKE
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State | VA
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Zip | 24019-4301
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Country | US
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Telephone | 540-366-5050
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Fax | 540-366-5099
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Provider Business Mailing Address
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Address Line | 7533 WILLIAMSON RD NW
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City | ROANOKE
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State | VA
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Zip | 24019-4301
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Country | US
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Telephone | 540-366-5050
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Fax | 540-366-5099
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID C HERMINGHUYSEN
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Credential | MD
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Telephone | 540-366-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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