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General NPI Number Information
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NPI Number | 1477724482
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Entity Type | Organization
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Legal Business Name | DAVID A. ESCALANTE, MD
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 1632 CUMBERLAND AVE
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City | MIDDLESBORO
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State | KY
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Zip | 40965-1378
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Country | US
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Telephone | 606-242-2196
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Fax | 606-242-2586
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Provider Business Mailing Address
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Address Line | PO BOX 1795
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City | MIDDLESBORO
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State | KY
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Zip | 40965-3795
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Country | US
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Telephone | 606-242-2196
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Fax | 606-242-2586
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID A ESCALANTE
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Credential | MD
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Telephone | 606-242-2196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471B0102X
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Taxonomy Name | Bone Densitometry Radiologic Technologist
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License Number |
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License Number State |
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