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General NPI Number Information
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NPI Number | 1366699894
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Entity Type | Individual
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Provider Name | THOMAS M. DANIEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 1822 WESTVIEW ROAD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903
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Country | US
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Telephone | 434-295-1875
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Fax | 434-295-9104
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Provider Business Mailing Address
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Address Line | 1822 WESTVIEW ROAD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903
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Country | US
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Telephone | 434-295-1875
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Fax | 434-295-9104
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 0101-016856
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License Number State | VA
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