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General NPI Number Information
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NPI Number | 1598760191
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Entity Type | Individual
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Provider Name | DAVID S EMERSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 790 VETERANS WAY
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City | PENSACOLA
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State | FL
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Zip | 32507-1000
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Country | US
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Telephone | 850-912-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 3371 MARINER CIR
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City | ORANGE BEACH
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State | AL
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Zip | 36561-4487
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Country | US
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Telephone | 256-225-4912
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20049
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License Number State | AL
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