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General NPI Number Information
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NPI Number | 1962460105
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Entity Type | Individual
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Provider Name | JOSEPH DAVID DOLANSKY D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 414 MAIN ST
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City | WARSAW
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State | VA
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Zip | 22572
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Country | US
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Telephone | 804-333-3671
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Fax | 804-333-3657
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Provider Business Mailing Address
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Address Line | 130 EXECUTIVE CENTER PARKWAY U.S. DEPT. OF VETERANS AFFAIRS - FREDERICKSBURG CBOC CL
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City | FREDERICKSBURG
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State | VA
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Zip | 22401
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Country | US
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Telephone | 540-370-4468
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Fax | 804-675-6885
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0102050251
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License Number State | VA
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