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Individual

DR. DANIEL SCOTT VANDERENDE

Active
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Individual

DR. DANIEL SCOTT VANDERENDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D. DTM&H

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101239536
VA
207R00000X
Internal Medicine Physician
Primary
58026
GA
207R00000X
Internal Medicine Physician
MD0000032003
TN
207R00000X
Internal Medicine Physician
TL28808
SC

Other

Enumeration date
06/10/2006
Last updated
06/22/2012
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