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General NPI Number Information
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NPI Number | 1598718751
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Entity Type | Organization
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Legal Business Name | DANVILLE EMERGENCY PHYSICIANS, PC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 142 S MAIN ST EMERGENCY DEPT
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City | DANVILLE
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State | VA
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Zip | 24541-2922
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Country | US
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Telephone | 434-799-2222
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Fax | 434-799-3857
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Provider Business Mailing Address
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Address Line | 80 CEDAR HILLS CIR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-1620
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Country | US
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Telephone | 919-942-9658
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN J DALLARA
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Credential | M.D.
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Telephone | 919-942-9658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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