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General NPI Number Information
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NPI Number | 1063693455
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Entity Type | Organization
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Legal Business Name | BILL D. DAVIS MD PA
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 224 HUNTERS VLG
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-4742
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Country | US
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Telephone | 830-606-9142
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Fax |
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Provider Business Mailing Address
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Address Line | 224 HUNTERS VLG
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-4742
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BILL DELBERT DAVIS JR.
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Credential | M.D.
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Telephone | 830-606-9142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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