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General NPI Number Information
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NPI Number | 1508854027
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Entity Type | Individual
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Provider Name | DAVID ANDREW KAGEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 102 HIGHLAND AVE SE SUITE 105
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City | ROANOKE
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State | VA
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Zip | 24013-2256
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Country | US
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Telephone | 540-343-8066
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Fax | 540-343-5369
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Provider Business Mailing Address
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Address Line | 102 HIGHLAND AVE SE SUITE 105
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City | ROANOKE
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State | VA
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Zip | 24013-2256
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Country | US
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Telephone | 540-343-8066
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Fax | 540-343-5369
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 0101234969
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License Number State | VA
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