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General NPI Number Information
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NPI Number | 1861928517
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Entity Type | Individual
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Provider Name | DAVID DWYER MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2235 STAPLES MILL RD STE 104
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City | RICHMOND
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State | VA
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Zip | 23230-2942
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Country | US
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Telephone | 804-355-9729
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Fax | 804-355-9731
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Provider Business Mailing Address
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Address Line | 661 EVERGREEN AVE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4303
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Country | US
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Telephone | 804-239-9434
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 0101268011
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD481174
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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