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General NPI Number Information
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NPI Number | 1912094988
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Entity Type | Individual
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Provider Name | MR. DANNY LEE RAY
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Gender | Male
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1011 N AUGUSTA ST SUITE C
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City | STAUNTON
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State | VA
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Zip | 24401-3298
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Country | US
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Telephone | 540-887-2228
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Fax | 540-887-1252
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Provider Business Mailing Address
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Address Line | 816 E BEVERLEY ST
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City | STAUNTON
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State | VA
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Zip | 24401-3501
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Country | US
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Telephone | 540-886-6070
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Fax | 540-886-3560
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202005276
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License Number State | VA
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