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NPI 1760570436

NPI 1760570436 : DANIEL CAWL PA : DECATUR, TX

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General NPI Number Information
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    NPI Number           |    1760570436
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL CAWL PA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/10/2006
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    Last Update Date     |    03/03/2025
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Provider Practice Location Address
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    Address Line         |    800 MEDICAL CENTER DR STE C 
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    City                 |    DECATUR
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    State                |    TX
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    Zip                  |    76234-3844
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    Country              |    US
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    Telephone            |    940-626-2110
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2120 N MACARTHUR BLVD SUITE 100
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75061-2225
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    Country              |    US
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    Telephone            |    972-438-4636
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    Fax                  |    214-260-0953
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    PA05032
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    License Number State |    TX
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