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General NPI Number Information
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NPI Number | 1558399907
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Entity Type | Individual
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Provider Name | DANIEL WILLIAM KOENIG M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 3031 NEW BERN AVE SUITE 306
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City | RALEIGH
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State | NC
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Zip | 27610-1214
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Country | US
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Telephone | 919-231-3966
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Fax | 919-231-3912
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Provider Business Mailing Address
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Address Line | PO BOX 58631
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City | RALEIGH
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State | NC
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Zip | 27658-8631
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Country | US
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Telephone | 919-231-3966
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Fax | 919-231-3912
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 32608
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License Number State | NC
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