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General NPI Number Information
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NPI Number | 1306138581
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Entity Type | Organization
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Legal Business Name | DAVID I. TASKER, MDPA
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 1150 N LOOP 1604 W SUITE 108
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City | SAN ANTONIO
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State | TX
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Zip | 78248-4503
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Country | US
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Telephone | 210-496-0496
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Fax | 210-496-1226
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Provider Business Mailing Address
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Address Line | 1150 N LOOP 1604 W SUITE 108
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City | SAN ANTONIO
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State | TX
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Zip | 78248-4503
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Country | US
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Telephone | 210-496-0496
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Fax | 210-496-1226
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID I TASKER
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Credential | MD
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Telephone | 210-496-0496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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