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General NPI Number Information
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NPI Number | 1225449317
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Entity Type | Individual
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Provider Name | DAVID KILPATRICK MD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 303 VETERANS BLVD
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-4723
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Country | US
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Telephone | 225-523-7624
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Fax | 225-523-7625
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Provider Business Mailing Address
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Address Line | 303 VETERANS BLVD
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-4723
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Country | US
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Telephone | 225-523-7624
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Fax | 225-523-7625
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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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 25063
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 330501
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License Number State | LA
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