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General NPI Number Information
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NPI Number | 1598840126
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Entity Type | Organization
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Legal Business Name | DAVID E. CRANDALL, DO, INTERNAL MEDICINE, INC.
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 ARH LANE SUITE 200
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City | LOW MOOR
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State | VA
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Zip | 24457
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Country | US
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Telephone | 540-862-3335
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Fax | 540-862-6597
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Provider Business Mailing Address
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Address Line | 1 ARH LANE, SUITE 200 PO BOX 217
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City | LOW MOOR
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State | VA
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Zip | 24457
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Country | US
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Telephone | 540-862-3335
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Fax | 540-862-6597
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MARY C MCCOIG
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Credential |
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Telephone | 540-862-6849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0102037024
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License Number State | VA
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