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General NPI Number Information
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NPI Number | 1699735100
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Entity Type | Individual
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Provider Name | DAVID L HEMPHILL MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 4313 CORRALES RD STE 2
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City | CORRALES
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State | NM
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Zip | 87048-8663
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Country | US
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Telephone | 505-400-5544
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Fax | 833-974-2306
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Provider Business Mailing Address
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Address Line | 4313 CORRALES RD STE 2
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City | CORRALES
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State | NM
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Zip | 87048-8663
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Country | US
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Telephone | 505-400-5544
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Fax | 833-974-2306
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD20040714
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD20040714
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License Number State | NM
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