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General NPI Number Information
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NPI Number | 1962413146
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Entity Type | Individual
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Provider Name | DAVID PAUL MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | HIGHWAY 60 AND HIGHWAY 2373
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City | AMARILLO
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State | TX
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Zip | 79118-8111
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Country | US
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Telephone | 806-477-3032
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Fax |
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Provider Business Mailing Address
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Address Line | BOX 30020 MAILDROP 12-2A
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City | AMARILLO
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State | TX
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Zip | 79118-8111
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Country | US
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Telephone |
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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 | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 15793
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 2083T0002X
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Taxonomy Name | Medical Toxicology (Preventive Medicine) Physician
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License Number | 15793
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License Number State | OK
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