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General NPI Number Information
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NPI Number | 1073597597
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Entity Type | Individual
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Provider Name | DAVID S PRATT MD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2222 53RD AVE
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City | BETTENDORF
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State | IA
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Zip | 52722-7546
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Country | US
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Telephone | 563-383-2686
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Fax | 563-884-8144
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Provider Business Mailing Address
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Address Line | 2222 53RD AVE
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City | BETTENDORF
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State | IA
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Zip | 52722-7546
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Country | US
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Telephone | 563-383-2686
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Fax | 563-884-8144
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 26490
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License Number State | IA
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