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General NPI Number Information
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NPI Number | 1457620700
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Entity Type | Organization
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Legal Business Name | DANNY PRINGLE JR
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 422 CEDAR DR
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City | HAMPTON
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State | VA
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Zip | 23669-2202
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Country | US
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Telephone | 757-617-6215
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Fax | 757-251-7901
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Provider Business Mailing Address
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Address Line | 422 CEDAR DR
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City | HAMPTON
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State | VA
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Zip | 23669-2202
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Country | US
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Telephone | 757-617-6215
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Fax | 757-251-7901
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Authorized Official
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Title or Position | DON
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Name | L JOHNSON
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Credential | R.N.
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Telephone | 757-617-6215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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