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General NPI Number Information
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NPI Number | 1033187679
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Entity Type | Individual
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Provider Name | ROBERT B DAVIS MD
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 2525 NE 139TH ST THE VANCOUVER CLINIC
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City | VANCOUVER
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State | WA
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Zip | 98686-2719
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Country | US
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Telephone | 360-397-3810
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 SW 10TH AVE STE 1110
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City | PORTLAND
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State | OR
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Zip | 97205-2426
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Country | US
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Telephone | 503-841-5642
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD021030E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00046696
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License Number State | WA
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