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General NPI Number Information
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NPI Number | 1225244064
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Entity Type | Organization
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Legal Business Name | DANIEL CALHOUN JR MD LLC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 12720 MCMANUS BLVD SUITE 201
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4414
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Country | US
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Telephone | 757-875-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 114 WYNNE RD
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City | GRAFTON
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State | VA
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Zip | 23692-2944
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Country | US
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Telephone | 757-898-3725
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL CALHOUN
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Credential | M.D.
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Telephone | 757-898-3725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 0101029941
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License Number State | VA
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