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General NPI Number Information
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NPI Number | 1205826575
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Entity Type | Organization
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Legal Business Name | DAVID LEE WEBBER D.O. P.A.
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 504 PECAN ST
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City | HELENA
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State | AR
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Zip | 72342-3214
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Country | US
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Telephone | 870-338-9244
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Fax | 870-338-9278
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Provider Business Mailing Address
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Address Line | 504 PECAN ST
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City | HELENA
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State | AR
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Zip | 72342-3214
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Country | US
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Telephone | 870-338-9244
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Fax | 870-338-9278
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DAVID LEE WEBBER
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Credential | DO
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Telephone | 870-338-9244
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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 | R4242
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License Number State | AR
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