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General NPI Number Information
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NPI Number | 1447568076
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Entity Type | Organization
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Legal Business Name | PIEDMONT FAMILY & OCCUPATIONAL MEDICINE
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 219 PARKER RD
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City | DANVILLE
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State | VA
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Zip | 24540-4034
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Country | US
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Telephone | 434-791-7366
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Fax | 434-791-3438
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Provider Business Mailing Address
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Address Line | 219 PARKER RD
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City | DANVILLE
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State | VA
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Zip | 24540-4034
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Country | US
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Telephone | 434-791-7366
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Fax | 434-791-3438
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL ADDIS
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Credential | MD/
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Telephone | 434-791-7336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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