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General NPI Number Information
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NPI Number | 1124337258
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Entity Type | Organization
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Legal Business Name | DANNY J. MINOR, D.C.,P.C.
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 936 PARK AVE NW
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City | NORTON
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State | VA
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Zip | 24273-1821
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Country | US
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Telephone | 276-679-2321
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Fax | 278-679-2321
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Provider Business Mailing Address
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Address Line | 936 PARK AVE NW
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City | NORTON
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State | VA
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Zip | 24273-1821
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Country | US
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Telephone | 276-679-2321
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Fax | 276-679-2321
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Authorized Official
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Title or Position | PRES/SEC/TREAS
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Name | DR. DANNY J. MINOR
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Credential | D.C.
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Telephone | 276-679-2321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number | 0104000509
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License Number State | VA
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