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General NPI Number Information
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NPI Number | 1912009291
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Entity Type | Individual
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Provider Name | DAVID J. HUME D.O
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Gender | Male
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 19555 N 59TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85308-6813
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Country | US
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Telephone | 623-537-6000
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Fax | 623-537-6014
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Provider Business Mailing Address
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Address Line | 19389 N 59TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85308-6500
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Country | US
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Telephone | 623-537-6000
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Fax | 623-537-6014
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4203
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License Number State | AZ
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