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General NPI Number Information
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NPI Number | 1437200482
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Entity Type | Individual
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Provider Name | DAVID A DEER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 330 ARKANSAS ST SUITE 120
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City | LAWRENCE
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State | KS
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Zip | 66044-1335
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Country | US
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Telephone | 785-749-3600
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Fax | 785-749-3621
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Provider Business Mailing Address
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Address Line | 16630 S COUNTRY CLUB CT
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City | VILLAGE OF LOCH LLOYD
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State | MO
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Zip | 64012-3376
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Country | US
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Telephone | 816-425-4931
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 04-14419
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License Number State | KS
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