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General NPI Number Information
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NPI Number | 1063725356
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Entity Type | Organization
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Legal Business Name | DAVIS HEALTH PA
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 07/15/2010
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Provider Practice Location Address
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Address Line | 2831 ELDORADO PKWY SUITE 103-303
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City | FRISCO
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State | TX
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Zip | 75034-7438
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Country | US
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Telephone | 940-488-5046
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Fax |
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Provider Business Mailing Address
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Address Line | 2831 ELDORADO PKWY SUITE 103-303
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City | FRISCO
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State | TX
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Zip | 75034-7438
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Country | US
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Telephone | 940-488-5046
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MRS. VICKI B DAVIS
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Credential | M.D.
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Telephone | 972-377-2447
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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 | F9213
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F9213
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License Number State | TX
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