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General NPI Number Information
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NPI Number | 1528249752
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Entity Type | Organization
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Legal Business Name | DAVID C. GERMAN M.D., PSC
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 211 PROFESSIONAL PARK DR
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City | GLASGOW
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State | KY
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Zip | 42141-3486
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Country | US
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Telephone | 270-651-8325
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Fax | 270-651-3169
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Provider Business Mailing Address
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Address Line | PO BOX 1568
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City | GLASGOW
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State | KY
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Zip | 42142-1568
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Country | US
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Telephone | 270-651-8325
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID CHARLES GERMAN
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Credential | M.D.
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Telephone | 270-651-8325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 29922
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License Number State | KY
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