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General NPI Number Information
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NPI Number | 1669111985
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Entity Type | Individual
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Provider Name | ALEXANDER DAVID MCCAMMANT MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1227 E RUSHOLME ST
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City | DAVENPORT
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State | IA
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Zip | 52803-2459
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Country | US
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Telephone | 563-421-1000
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Fax | 563-421-7889
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Provider Business Mailing Address
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Address Line | 1351 W CENTRAL PARK AVE STE 4100
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City | DAVENPORT
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State | IA
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Zip | 52804-1847
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Country | US
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Telephone | 563-421-1000
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Fax | 563-441-0544
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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 | MD-55040
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License Number State | IA
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