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General NPI Number Information
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NPI Number | 1447545827
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL SPORTS AND SPINE, PLLC
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 2002 ORANGE RD SUITE 201
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City | CULPEPER
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State | VA
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Zip | 22701-4170
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Country | US
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Telephone | 540-423-6239
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Fax |
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Provider Business Mailing Address
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Address Line | 2002 ORANGE RD SUITE 201
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City | CULPEPER
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State | VA
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Zip | 22701-4170
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Country | US
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Telephone | 540-423-6239
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL ELI HALPERT
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Credential | D.O.
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Telephone | 540-423-6239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0102202833
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 0102202833
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 0102202833
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 0102202833
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License Number State | VA
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