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General NPI Number Information
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NPI Number | 1386694073
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Entity Type | Individual
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Provider Name | DAVID C GINN MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 100 KIANA CT
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City | PADUCAH
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State | KY
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Zip | 42001-6787
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Country | US
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Telephone | 270-554-0011
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Fax | 270-554-6540
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Provider Business Mailing Address
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Address Line | PO BOX 7564
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City | PADUCAH
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State | KY
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Zip | 42002-7564
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Country | US
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Telephone | 270-554-0011
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Fax | 270-554-6540
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD0000019543
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 26367
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | IL036-07860
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License Number State | IL
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