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General NPI Number Information
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NPI Number | 1366424673
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Entity Type | Individual
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Provider Name | DONALD G LITTLE MD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 100 W CROSS ST
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City | MADISONVILLE
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State | TX
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Zip | 77864-2432
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Country | US
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Telephone | 936-348-2631
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Fax | 936-348-3404
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Provider Business Mailing Address
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Address Line | 6300 LA CALMA DR
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City | AUSTIN
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State | TX
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Zip | 78752-3843
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Country | US
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Telephone | 888-800-8236
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Fax | 512-685-0612
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | M8796
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 33005
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License Number State | IA
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