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General NPI Number Information
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NPI Number | 1649308263
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Entity Type | Organization
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Legal Business Name | BTJS MANAGEMENT
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7266 EDGEWORTH RD # A
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City | MECHANICSVLLE
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State | VA
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Zip | 23111-1232
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Country | US
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Telephone | 804-746-5327
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Fax | 804-746-7880
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Provider Business Mailing Address
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Address Line | 7266 EDGEWORTH RD # A
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City | MECHANICSVLLE
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State | VA
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Zip | 23111-1232
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Country | US
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Telephone | 804-746-5327
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Fax | 804-746-7880
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL R RHODES
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Credential |
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Telephone | 804-746-5327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401410701
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License Number State | VA
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