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General NPI Number Information
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NPI Number | 1063559615
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Entity Type | Individual
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Provider Name | DAVID MICHAEL DAVIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ALBEMARLE HOSPITAL 1144 N ROAD STREET
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3353
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Country | US
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Telephone | 252-384-4449
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Fax |
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Provider Business Mailing Address
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Address Line | 2216 INDIAN HILL RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-2130
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Country | US
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Telephone | 757-460-3747
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 30627
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License Number State | NC
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