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General NPI Number Information
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NPI Number | 1003846882
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Entity Type | Individual
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Provider Name | DAVID F CORRAL MD
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 01/05/2009
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Provider Practice Location Address
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Address Line | 6410 SOUTHWEST BLVD SUITE 220
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City | BENBROOK
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State | TX
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Zip | 76109-3914
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Country | US
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Telephone | 817-377-9100
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Fax | 817-377-3444
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Provider Business Mailing Address
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Address Line | 6410 SOUTHWEST BLVD SUITE 220
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City | BENBROOK
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State | TX
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Zip | 76109-3914
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Country | US
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Telephone | 817-377-9100
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Fax | 817-377-9100
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H7400
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License Number State | TX
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