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General NPI Number Information
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NPI Number | 1538211875
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Entity Type | Organization
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Legal Business Name | THOMAS M ALABANZA M D P C & VICENTE T FALGUI M D P C PTR
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 03/10/2010
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Provider Practice Location Address
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Address Line | 990 MAIN ST 204
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City | DANVILLE
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State | VA
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Zip | 24541-1828
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Country | US
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Telephone | 434-791-4648
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Fax | 434-793-2631
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Provider Business Mailing Address
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Address Line | 990 MAIN ST. 204
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City | DANVILLE
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State | VA
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Zip | 24541
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Country | US
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Telephone | 434-791-4648
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Fax | 434-793-2631
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHRISTIAN B DAVIDSON
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Credential |
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Telephone | 434-791-4648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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