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NPI 1255837498

NPI 1255837498 : ANGELINE DAVID MD, MS : GALVESTON, TX

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General NPI Number Information
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    NPI Number           |    1255837498
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELINE DAVID MD, MS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/05/2018
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    Last Update Date     |    06/14/2025
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Provider Practice Location Address
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    Address Line         |    301 UNIVERSITY BLVD 
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    City                 |    GALVESTON
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    State                |    TX
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    Zip                  |    77555-5241
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    Country              |    US
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    Telephone            |    409-772-0764
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    Fax                  |    409-772-9785
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Provider Business Mailing Address
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    Address Line         |    301 UNIVERSITY BLVD 
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    City                 |    GALVESTON
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    State                |    TX
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    Zip                  |    77555-5303
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    Country              |    US
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    Telephone            |    409-772-0764
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    Fax                  |    409-772-9785
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    70135
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    ME164738
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    BP10094014
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    License Number State |    TX
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