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General NPI Number Information
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NPI Number | 1376662726
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Entity Type | Individual
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Provider Name | DAVID JOHN MACDOUGALL D.O., F.A.C.O.S., PA
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 05/17/2018
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Provider Practice Location Address
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Address Line | 4201 GARTH RD STE 205
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City | BAYTOWN
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State | TX
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Zip | 77521
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Country | US
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Telephone | 713-795-5300
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Fax | 713-795-5720
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Provider Business Mailing Address
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Address Line | 3211 SAVELL DR
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City | BAYTOWN
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State | TX
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Zip | 77521-2700
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Country | US
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Telephone | 713-795-5300
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Fax | 713-795-5720
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | G9493
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License Number State | TX
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