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General NPI Number Information
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NPI Number | 1003858127
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Entity Type | Individual
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Provider Name | JOHN DAVIS MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY STE 1004
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City | HOUSTON
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State | TX
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Zip | 77002-8231
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Country | US
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Telephone | 936-441-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 25511 BUDDE RD STE 2502
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City | THE WOODLANDS
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State | TX
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Zip | 77380-2388
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Country | US
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Telephone | 832-616-5560
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Fax | 866-475-9062
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 10503
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | N1301
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License Number State | TX
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