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General NPI Number Information
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NPI Number | 1932157286
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Entity Type | Individual
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Provider Name | DOUGLAS P. WEBSTER D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 13737 NOEL RD SUITE # 1600
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City | DALLAS
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State | TX
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Zip | 75240-1331
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Country | US
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Telephone | 469-401-2386
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Fax |
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD SUITE # 1600
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City | DALLAS
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State | TX
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Zip | 75240-1331
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Country | US
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Telephone | 469-401-2386
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 02001017A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036-073803
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License Number State | IL
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