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General NPI Number Information
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NPI Number | 1144204322
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Entity Type | Individual
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Provider Name | DONALD E LA VAY MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 109 GEORGE SANDYS
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-8938
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Country | US
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Telephone | 757-784-0930
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Fax | 757-257-1156
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Provider Business Mailing Address
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Address Line | 109 GEORGE SANDYS
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-8938
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Country | US
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Telephone | 757-784-0930
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Fax | 757-257-1156
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101043861
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License Number State | VA
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