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General NPI Number Information
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NPI Number | 1366114829
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Entity Type | Individual
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Provider Name | DAVID ADAM DEAL PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1265 UNION AVE 2 SHORB TOWER
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City | MEMPHIS
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State | TN
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Zip | 38104
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Country | US
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Telephone | 901-478-2400
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Fax | 901-478-2220
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Provider Business Mailing Address
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Address Line | 1211 UNION AVE STE 330
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City | MEMPHIS
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State | TN
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Zip | 38104-6655
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 4703
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 4703
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License Number State | TN
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