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General NPI Number Information
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NPI Number | 1255711370
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Entity Type | Individual
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Provider Name | DAVID CLAYTON TAPSCOTT M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 800 N 1ST ST
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City | SPRINGFIELD
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State | IL
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Zip | 62702-3778
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Country | US
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Telephone | 217-280-9099
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19248
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City | SPRINGFIELD
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State | IL
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Zip | 62794-9248
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Country | US
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Telephone | 217-528-7541
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD17113
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036155902
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License Number State | IL
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