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General NPI Number Information
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NPI Number | 1730321894
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Entity Type | Individual
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Provider Name | TRAVIS PAUL WEBB
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Gender | Male
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 5100 W TAFT RD SUITE 2E
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City | LIVERPOOL
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State | NY
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Zip | 13088-3807
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Country | US
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Telephone | 315-634-3399
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Fax | 315-634-3481
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Provider Business Mailing Address
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Address Line | 5100 W TAFT RD SUITE 1D
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City | LIVERPOOL
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State | NY
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Zip | 13088-3807
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Country | US
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Telephone | 315-744-1865
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Fax | 315-744-1954
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 275729
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 275729
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License Number State | NY
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