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General NPI Number Information
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NPI Number | 1609062306
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Entity Type | Individual
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Provider Name | DAVID J MUSSER MD
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Gender | Male
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 1532 LONE OAK RD STE 405
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City | PADUCAH
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State | KY
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Zip | 42003-7942
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Country | US
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Telephone | 270-441-4300
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Fax | 270-441-4370
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Provider Business Mailing Address
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Address Line | 2200 JEFFERSON AVE 5TH FLOOR MERCY PHO/CVO
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City | TOLEDO
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State | OH
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Zip | 43604-7101
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Country | US
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Telephone |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD048255L
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License Number State | PA
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