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General NPI Number Information
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NPI Number | 1922293331
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Entity Type | Organization
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Legal Business Name | PIEDMONT HEALTH & WELLNESS, P.C.
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 4545 RIVERSIDE DR SUITE A
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City | DANVILLE
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State | VA
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Zip | 24541-5171
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Country | US
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Telephone | 434-799-5800
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Fax | 434-799-5801
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Provider Business Mailing Address
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Address Line | 4545 RIVERSIDE DR SUITE A
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City | DANVILLE
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State | VA
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Zip | 24541-5171
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Country | US
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Telephone | 434-799-5800
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Fax | 434-799-5801
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JOHN DAVID HUNGARLAND
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Credential | M.D.
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Telephone | 434-799-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 0101224431
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License Number State | VA
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