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General NPI Number Information
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NPI Number | 1720281330
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Entity Type | Individual
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Provider Name | DAVID EDWARD EISENHAUER D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2007
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 100 MERCY WAY STE 430
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City | JOPLIN
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State | MO
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Zip | 64804-4524
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Country | US
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Telephone | 417-556-8757
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Fax | 417-556-8758
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Provider Business Mailing Address
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Address Line | 100 MERCY WAY STE 430
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City | JOPLIN
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State | MO
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Zip | 64804-4524
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Country | US
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Telephone | 417-556-8757
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Fax | 417-556-8758
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 76704
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4402
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DO1632
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS11124
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 20A11979
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 2017043630
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License Number State | MO
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Taxonomy #7
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | DO1632
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License Number State | NV
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Taxonomy #8
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 20A11979
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2017043630
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License Number State | MO
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