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General NPI Number Information
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NPI Number | 1760772529
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Entity Type | Individual
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Provider Name | MR. DAVID FRANKLIN TABOR
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Gender | Male
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 515 S MAIN ST
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City | LEITCHFIELD
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State | KY
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Zip | 42754-1133
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Country | US
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Telephone | 270-259-5720
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Fax | 270-259-3570
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Provider Business Mailing Address
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Address Line | PO BOX 44
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City | GARFIELD
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State | KY
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Zip | 40140-0044
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Country | US
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Telephone | 270-756-1770
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 008316
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License Number State | KY
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