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General NPI Number Information
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NPI Number | 1154859452
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Entity Type | Individual
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Provider Name | DAVID CHARLES KING PA
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Gender | Male
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Dates
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Enumeration Date | 05/31/2017
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Last Update Date | 05/31/2017
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Provider Practice Location Address
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Address Line | 101 TOWER RD
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City | NORTH SIOUX CITY
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State | SD
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Zip | 57049-5007
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Country | US
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Telephone | 605-217-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 648 S VALLEY DR
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City | LE MARS
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State | IA
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Zip | 51031-2418
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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