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General NPI Number Information
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NPI Number | 1639231293
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Entity Type | Individual
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Provider Name | JAMES P. DAVID JR. PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 1526 VALERIE DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-3050
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Country | US
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Telephone | 972-291-3603
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Fax |
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Provider Business Mailing Address
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Address Line | 1526 VALERIE DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-3050
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Country | US
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Telephone | 972-291-3603
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3040
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3040
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 3040
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 3040
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 3040
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License Number State | CO
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