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General NPI Number Information
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NPI Number | 1336236090
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Entity Type | Individual
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Provider Name | DAVID GARDNER DRAUGHN MD FACS
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 860 SUMMIT CROSSING PL SUITE 120
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City | GASTONIA
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State | NC
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Zip | 28054-2216
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Country | US
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Telephone | 704-861-2072
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Fax | 704-854-3996
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Provider Business Mailing Address
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Address Line | 860 SUMMIT CROSSING PLACE SUITE 120
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City | GASTONIA
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State | NC
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Zip | 28054
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Country | US
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Telephone | 704-861-2072
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Fax | 704-854-3996
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 9300088
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License Number State | NC
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