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General NPI Number Information
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NPI Number | 1548344633
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Entity Type | Individual
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Provider Name | DAVID ANDREW DECKER MD
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 3100 E FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33613-4613
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Country | US
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Telephone | 813-971-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 13067 N TELECOM PKWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-0926
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Country | US
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Telephone | 813-779-6303
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Fax | 786-868-0012
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | ME100336
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME100336
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License Number State | FL
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