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General NPI Number Information
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NPI Number | 1518278969
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Entity Type | Individual
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Provider Name | GORDEN DAVID POTTER III MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 206 E 16TH ST
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City | DALHART
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State | TX
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Zip | 79022-4802
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Country | US
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Telephone | 806-244-5668
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50239
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City | AMARILLO
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State | TX
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Zip | 79159-0239
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Country | US
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Telephone | 806-214-0007
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Fax | 806-214-0008
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 55430
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 10367
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License Number State | SD
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | TX3536
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License Number State | TX
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