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General NPI Number Information
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NPI Number | 1699799155
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Entity Type | Individual
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Provider Name | DONALD L HEAD MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 249 CRAIG ST
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City | BUFFALO
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State | TX
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Zip | 75831-7707
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Country | US
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Telephone | 903-322-4072
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Fax | 903-322-4069
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Provider Business Mailing Address
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Address Line | PO BOX 846098
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City | DALLAS
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State | TX
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Zip | 75284-6098
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Country | US
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Telephone | 903-324-6400
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G8540
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G8540
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License Number State | TX
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