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General NPI Number Information
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NPI Number | 1407392582
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Entity Type | Organization
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Legal Business Name | DALAWARI MEDICAL SERVICES
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 4870 SADLER RD STE 300
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City | GLEN ALLEN
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State | VA
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Zip | 23060-6294
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Country | US
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Telephone | 804-991-4109
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Fax |
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Provider Business Mailing Address
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Address Line | 1858 GREY OAKS PARK LN
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5798
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Country | US
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Telephone | 918-699-9525
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASDEEP S DALAWARI
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Credential | M.D.
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Telephone | 804-991-4109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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