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General NPI Number Information
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NPI Number | 1477537603
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Entity Type | Individual
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Provider Name | DAVID DEVORKIN MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 16545 SOUTHWEST FWY SUITE 100
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City | SUGAR LAND
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State | TX
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Zip | 77479-2891
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Country | US
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Telephone | 281-649-7200
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Fax | 281-491-6704
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Provider Business Mailing Address
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Address Line | 9494 SOUTHWEST FWY SUITE 850
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City | HOUSTON
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State | TX
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Zip | 77074-1419
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Country | US
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Telephone | 281-649-7000
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Fax | 713-484-6649
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | H1069
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License Number State | TX
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