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General NPI Number Information
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NPI Number | 1275693962
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Entity Type | Organization
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Legal Business Name | SNEHAL DAMLE MD PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5835 HARBOUR VIEW BLVD. SUITE C
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City | SUFFOLK
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State | VA
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Zip | 23435
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Country | US
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Telephone | 757-484-0215
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Fax | 757-484-6792
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Provider Business Mailing Address
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Address Line | 5835 HARBOUR VIEW BLVD SUITE C
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City | SUFFOLK
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State | VA
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Zip | 23435
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Country | US
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Telephone | 757-484-0215
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Fax | 757-484-6792
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Authorized Official
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Title or Position | PHYSICIAN-OWNER
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Name | DR. SNEHAL DAMLE
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Credential | M.D.
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Telephone | 757-484-0215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101058573
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License Number State | VA
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