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General NPI Number Information
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NPI Number | 1417999442
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Entity Type | Individual
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Provider Name | DAVID J WALBURN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3275 W ALABAMA ST
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City | HOUSTON
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State | TX
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Zip | 77098-1701
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Country | US
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Telephone | 713-529-6704
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Fax | 713-529-6790
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Provider Business Mailing Address
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Address Line | 3275 W ALABAMA ST
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City | HOUSTON
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State | TX
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Zip | 77098-1701
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Country | US
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Telephone | 713-529-6704
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Fax | 713-529-6790
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E6673
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License Number State | TX
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