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General NPI Number Information
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NPI Number | 1063416501
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Entity Type | Individual
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Provider Name | WILLIAM L. DAVIS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 327 ROUTE 59
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City | AIRMONT
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State | NY
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Zip | 10952
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Country | US
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Telephone | 845-356-2900
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Fax | 845-356-7797
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Provider Business Mailing Address
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Address Line | 507 AIRPORT EXECUTIVE PARK
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City | NANUET
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State | NY
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Zip | 10954-5238
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Country | US
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Telephone | 845-262-5313
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Fax | 845-262-5330
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 213531
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 25MA07797000
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License Number State | NJ
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