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General NPI Number Information
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NPI Number | 1104027275
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Entity Type | Individual
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Provider Name | DAVID GEORGE ATAMANTYK MD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 247 W ROBERTS #6
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City | PORT ARANSAS
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State | TX
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Zip | 78373-4159
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Country | US
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Telephone | 361-876-5080
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Fax |
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Provider Business Mailing Address
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Address Line | 247 W ROBERTS #6
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City | PORT ARANSAS
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State | TX
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Zip | 78373-4159
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Country | US
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Telephone | 361-876-5080
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G3972
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License Number State | TX
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