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NPI 1962689950

NPI 1962689950 : E DAVID PAMPE, M.D. : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1962689950
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    Entity Type          |    Organization 
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    Legal Business Name  |    E DAVID PAMPE, M.D. 
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Dates
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    Enumeration Date     |    01/22/2008
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    Last Update Date     |    07/29/2020
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Provider Practice Location Address
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    Address Line         |    6012 WEST WILLIAM CANNON DR STE D101 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78749-1979
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    Country              |    US
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    Telephone            |    512-892-6441
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    Fax                  |    512-892-4154
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Provider Business Mailing Address
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    Address Line         |    6012 WEST WILLIAM CANNON DR STE D101 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78749-1979
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    Country              |    US
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    Telephone            |    512-892-6441
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    Fax                  |    512-892-4154
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |     EUGENE DAVID PAMPE 
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    Credential           |    MD
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    Telephone            |    512-892-6441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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