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General NPI Number Information
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NPI Number | 1932052115
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Entity Type | Individual
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Provider Name | DAVID AUSTIN FERGUSON DPT
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Gender | Male
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 295 BRISTOL EAST RD
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City | BRISTOL
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State | VA
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Zip | 24202-5532
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Country | US
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Telephone | 276-591-5484
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Fax |
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Provider Business Mailing Address
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Address Line | 201 REDSTONE DR
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City | BRISTOL
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State | TN
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Zip | 37620-2937
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Country | US
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Telephone | 276-591-5484
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Fax | 276-591-5477
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 16655
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License Number State | TN
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