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General NPI Number Information
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NPI Number | 1497852677
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Entity Type | Individual
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Provider Name | DAVID ELLIOT JAMISON M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 17 WESTERN MARYLAND PKWY STE 100
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City | HAGERSTOWN
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State | MD
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Zip | 21740-5471
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Country | US
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Telephone | 301-797-9240
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Fax | 301-797-4234
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Provider Business Mailing Address
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Address Line | 3421 CONCORD RD
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City | YORK
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State | PA
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Zip | 17402-9001
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Country | US
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Telephone | 301-797-9240
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Fax | 301-797-4234
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D0067384
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01059930A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 0101248964
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | D67384
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License Number State | MD
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