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General NPI Number Information
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NPI Number | 1003915646
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Entity Type | Individual
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Provider Name | I. JEAN ROBINSON DAVIS PHD, DC, PA
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/13/2018
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Provider Practice Location Address
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Address Line | 9200 COLIMA RD STE 106
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City | WHITTIER
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State | CA
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Zip | 90605
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Country | US
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Telephone | 526-693-2654
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Fax | 562-693-2554
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Provider Business Mailing Address
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Address Line | 5800 SEA WALK DR UNIT #2
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City | PLAYA VISTA
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State | CA
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Zip | 90094-2140
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Country | US
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Telephone | 310-745-8446
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Fax | 310-745-8449
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10293
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License Number State | CA
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