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General NPI Number Information
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NPI Number | 1659719516
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Entity Type | Individual
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Provider Name | DAVID FORD NELSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-4824
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Country | US
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Telephone | 404-778-5212
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Fax |
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Provider Business Mailing Address
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Address Line | 111 S 11TH STREET SUITE 8490
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4824
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Country | US
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Telephone | 215-955-6161
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Fax | 215-923-5507
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MT204001
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD460867
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 92588
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License Number State | GA
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