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General NPI Number Information
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NPI Number | 1881083616
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Entity Type | Organization
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Legal Business Name | D W CHERRY DDS FAGD
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 2225 S HENRY ST
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3973
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Country | US
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Telephone | 757-253-2500
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Fax | 757-253-2078
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Provider Business Mailing Address
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Address Line | 2225 S HENRY ST
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3973
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Country | US
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Telephone | 757-253-2500
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Fax | 757-253-2078
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DONALD W. CHERRY
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Credential |
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Telephone | 757-253-2500
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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 | 0401003937
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License Number State | VA
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