=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558883397
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DASH INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2017
-----------------------------------------------------
Last Update Date | 07/13/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 208 S BAYARD AVE
-----------------------------------------------------
City | WAYNESBORO
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22980-5704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-943-5932
-----------------------------------------------------
Fax | 540-943-5932
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 627
-----------------------------------------------------
City | WAYNESBORO
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22980-0462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-943-5932
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. RICHARD DEAN HARRIS SR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 540-241-6031
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 344600000X
-----------------------------------------------------
Taxonomy Name | Taxi
-----------------------------------------------------
License Number | 25789
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------