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General NPI Number Information
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NPI Number | 1184654584
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Entity Type | Individual
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Provider Name | JOHN LEACH MACNEILL JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 1701 THOMSON DR SUITE 200
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City | LYNCHBURG
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State | VA
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Zip | 24501-1118
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Country | US
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Telephone | 434-200-5925
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Fax | 434-200-5929
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Provider Business Mailing Address
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Address Line | 1701 THOMSON DR SUITE 200
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City | LYNCHBURG
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State | VA
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Zip | 24501-1118
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Country | US
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Telephone | 434-200-5925
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Fax | 434-200-5929
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101043732
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 0101043732
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License Number State | VA
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