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General NPI Number Information
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NPI Number | 1073519484
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Entity Type | Individual
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Provider Name | CURTIS DAVID KING M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 1021 E HIGHWAY 22
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City | CENTRALIA
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State | MO
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Zip | 65240-1183
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Country | US
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Telephone | 573-682-5588
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Fax | 573-682-1539
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Provider Business Mailing Address
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Address Line | 4700 FORUM BLVD
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City | COLUMBIA
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State | MO
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Zip | 65203-5654
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Country | US
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Telephone | 573-449-4936
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Fax | 573-449-6795
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 157489
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License Number State | MO
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