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NPI 1003898685

NPI 1003898685 : JAMES D DAVIS DPM : NORTHGLENN, CO

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General NPI Number Information
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    NPI Number           |    1003898685
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES D DAVIS DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/18/2005
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    Last Update Date     |    08/30/2022
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Provider Practice Location Address
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    Address Line         |    11900 GRANT ST STE 220 
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    City                 |    NORTHGLENN
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    State                |    CO
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    Zip                  |    80233-1117
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    Country              |    US
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    Telephone            |    303-673-1420
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    Fax                  |    303-452-4398
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Provider Business Mailing Address
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    Address Line         |    11900 GRANT ST STE 220 
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    City                 |    NORTHGLENN
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    State                |    CO
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    Zip                  |    80233-1117
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    Country              |    US
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    Telephone            |    303-673-1420
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    Fax                  |    303-452-4398
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    00520
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    License Number State |    CO
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