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General NPI Number Information
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NPI Number | 1417694985
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Entity Type | Organization
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Legal Business Name | DANDELION HEALTH, PLLC
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 1312 HULL ST
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City | RICHMOND
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State | VA
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Zip | 23224-3921
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Country | US
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Telephone | 804-251-0402
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Fax | 804-351-8404
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Provider Business Mailing Address
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Address Line | 1312 HULL ST
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City | RICHMOND
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State | VA
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Zip | 23224-3921
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Country | US
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Telephone | 804-251-0402
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Fax | 804-351-8404
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Authorized Official
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Title or Position | OWNER/FAMILY PHYSICIAN
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Name | JOSEPH FIELDS-JOHNSON
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Credential | DO
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Telephone | 804-251-0402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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