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General NPI Number Information
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NPI Number | 1669421160
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Entity Type | Individual
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Provider Name | DAVID PAYTON GREENWELL MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 2503 N US HIGHWAY 281 STE 400
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City | MARBLE FALLS
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State | TX
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Zip | 78654-3863
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Country | US
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Telephone | 830-693-5889
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Fax | 830-693-5801
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Provider Business Mailing Address
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Address Line | 8240 N MOPAC EXPY STE 100
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City | AUSTIN
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State | TX
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Zip | 78759-8869
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Country | US
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Telephone | 512-687-1950
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | K0308
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License Number State | TX
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