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General NPI Number Information
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NPI Number | 1821083429
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Entity Type | Individual
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Provider Name | DAVID C. POWELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 2955 HARRISON ST SUITE #204
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City | BEAUMONT
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State | TX
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Zip | 77702-1154
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Country | US
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Telephone | 409-236-7246
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5587
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City | BEAUMONT
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State | TX
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Zip | 77726-5587
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Country | US
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Telephone | 409-838-5214
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E72336
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | E7236
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License Number State | TX
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