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General NPI Number Information
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NPI Number | 1376810770
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Entity Type | Organization
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Legal Business Name | DAVID W KABEL, MD, FACC, P.C.
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 1717 W RIDGEWAY AVE
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City | WATERLOO
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State | IA
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Zip | 50701-4543
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Country | US
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Telephone | 319-833-5880
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Fax | 319-833-5881
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Provider Business Mailing Address
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Address Line | PO BOX 2757
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City | WATERLOO
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State | IA
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Zip | 50704-2757
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Country | US
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Telephone | 319-833-5880
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Fax | 319-833-5881
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID WARREN KABEL
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Credential | M.D.
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Telephone | 319-833-5880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 19454
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License Number State | IA
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