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General NPI Number Information
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NPI Number | 1235128505
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Entity Type | Individual
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Provider Name | DANIEL M VANARSDALE DO
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Gender | Male
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 80 OLD RIVERHEAD RD
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City | WESTHAMPTON BEACH
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State | NY
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Zip | 11978-1401
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Country | US
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Telephone | 631-288-7746
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Fax | 631-288-7111
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Provider Business Mailing Address
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Address Line | 330 MEETING HOUSE LANE SOUTHAMPTON HOSPITAL ANNEX
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City | SOUTHAMPTON
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State | NY
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Zip | 11968
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Country | US
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Telephone | 631-726-0409
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Fax | 631-726-0406
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2259381
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 2259381
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License Number State | NY
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