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General NPI Number Information
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NPI Number | 1598236549
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Entity Type | Individual
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Provider Name | DAVID DANNELS DC
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Gender | Male
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 108 SOUTH ST SE STE F
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City | LEESBURG
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State | VA
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Zip | 20175-3732
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Country | US
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Telephone | 703-727-9311
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Fax |
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Provider Business Mailing Address
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Address Line | 338 NANSEMOND ST SE
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City | LEESBURG
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State | VA
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Zip | 20175-4024
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Country | US
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Telephone | 703-727-9311
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104557462
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License Number State | VA
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