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General NPI Number Information
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NPI Number | 1548225576
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Entity Type | Individual
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Provider Name | DAVID E TATE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 07/09/2016
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Provider Practice Location Address
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Address Line | 315 E BROADWAY STE 195
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City | LOUISVILLE
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State | KY
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Zip | 40202-1703
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Country | US
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Telephone | 502-629-4263
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Fax | 502-629-4282
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Provider Business Mailing Address
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Address Line | PO BOX 776351
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City | CHICAGO
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State | IL
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Zip | 60677-6351
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Country | US
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Telephone | 502-969-6552
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Fax | 502-212-1358
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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 | 32802
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 32802
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License Number State | KY
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