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NPI 1194346569

NPI 1194346569 : DAVID NATHANIEL EAMES DO : WYTHEVILLE, VA

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General NPI Number Information
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    NPI Number           |    1194346569
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID NATHANIEL EAMES DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/27/2020
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    Last Update Date     |    02/02/2026
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Provider Practice Location Address
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    Address Line         |    570 W MAIN ST STE E 
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    City                 |    WYTHEVILLE
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    State                |    VA
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    Zip                  |    24382-2262
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    Country              |    US
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    Telephone            |    276-223-0949
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    Fax                  |    234-901-4893
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Provider Business Mailing Address
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    Address Line         |    PO BOX 363 
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    City                 |    WYTHEVILLE
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    State                |    VA
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    Zip                  |    24382-0363
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    Country              |    US
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    Telephone            |    276-223-0949
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    Fax                  |    234-901-4893
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    0102207521
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    License Number State |    VA
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