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General NPI Number Information
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NPI Number | 1942204755
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Entity Type | Individual
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Provider Name | DAVID JOEL KORMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 575 W HIGHWAY 243
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City | CANTON
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State | TX
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Zip | 75103
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Country | US
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Telephone | 903-567-4197
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Fax | 903-535-7384
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Provider Business Mailing Address
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Address Line | 2323 W FRONT ST
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City | TYLER
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State | TX
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Zip | 75702-7747
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Country | US
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Telephone | 903-597-1351
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Fax | 903-535-7384
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G5263
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License Number State | TX
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