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General NPI Number Information
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NPI Number | 1215972443
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Entity Type | Organization
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Legal Business Name | DANVILLE INTERNAL MEDICINE INC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 125 WATSON ST
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City | DANVILLE
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State | VA
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Zip | 24541-2834
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Country | US
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Telephone | 434-797-5711
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Fax | 434-797-9165
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Provider Business Mailing Address
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Address Line | 125 WATSON ST
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City | DANVILLE
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State | VA
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Zip | 24541-2834
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Country | US
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Telephone | 434-797-5711
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Fax | 434-797-9165
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL LEE POMPOSINI
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Credential | M.D.
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Telephone | 434-797-5711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 0101044402
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License Number State | VA
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