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General NPI Number Information
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NPI Number | 1912959594
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Entity Type | Individual
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Provider Name | DAVID LECOMPTE ROSS MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1048 HARVIN WAY
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City | ROCKLEDGE
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State | FL
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Zip | 32955-3229
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Country | US
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Telephone | 321-636-2111
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Fax | 321-636-7180
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Provider Business Mailing Address
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Address Line | PO BOX 100045
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City | ATLANTA
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State | GA
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Zip | 30348-0045
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Country | US
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Telephone | 321-725-5050
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Fax | 321-676-2765
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | ME90807
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 2008000497
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License Number State | MO
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