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General NPI Number Information
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NPI Number | 1407910037
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Entity Type | Individual
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Provider Name | ALFRED P. MAGNESS II M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6316 RICHMOND CRES
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City | NORFOLK
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State | VA
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Zip | 23508-1143
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Country | US
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Telephone | 757-423-8560
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Fax |
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Provider Business Mailing Address
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Address Line | 6316 RICHMOND CRES
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City | NORFOLK
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State | VA
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Zip | 23508-1143
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Country | US
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Telephone | 757-423-8560
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Fax |
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 0101031838
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License Number State | VA
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