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General NPI Number Information
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NPI Number | 1790351377
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Entity Type | Organization
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Legal Business Name | BRIAN DENA DO LLC
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 95 MEDICAL PARK BLVD
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City | PETERSBURG
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State | VA
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Zip | 23805-9280
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Country | US
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Telephone | 210-845-6576
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11768
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City | RICHMOND
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State | VA
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Zip | 23230-0168
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Country | US
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Telephone | 804-353-4000
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Fax | 804-213-9783
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN M DENA
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Credential | DO
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Telephone | 210-845-6576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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