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General NPI Number Information
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NPI Number | 1225692049
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Entity Type | Individual
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Provider Name | DANIEL DENEVE MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2019
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 6473 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37919-4832
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Country | US
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Telephone | 201-669-2165
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Fax |
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Provider Business Mailing Address
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Address Line | 160 CALIFORNIA ST
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-1309
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Country | US
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Telephone | 201-669-2165
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Fax |
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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 | 66405
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License Number State | TN
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