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General NPI Number Information
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NPI Number | 1326497322
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Entity Type | Organization
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Legal Business Name | THE WORKMAN CENTER, A&I
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Dates
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Enumeration Date | 06/09/2016
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 1616 GRANT ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3663
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Country | US
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Telephone | 740-529-1930
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Fax |
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Provider Business Mailing Address
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Address Line | 11710 PLAZA AMERICA DR SUITE 2000
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City | RESTON
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State | VA
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Zip | 20190-4742
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Country | US
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Telephone |
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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 L WHITE
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Credential |
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Telephone | 703-334-7229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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