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General NPI Number Information
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NPI Number | 1114304805
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Entity Type | Organization
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Legal Business Name | DAVIS WELLNESS LTD LLP
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 3750 S. UNIVERSITY DR. SUITE 201
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City | FORT WORTH
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State | TX
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Zip | 76109-3701
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Country | US
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Telephone | 682-312-7919
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Fax | 817-920-1855
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Provider Business Mailing Address
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Address Line | 3750 S. UNIVERSITY DR. SUITE 201
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City | FORT WORTH
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State | TX
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Zip | 76109-3701
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Country | US
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Telephone | 682-312-7919
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Fax | 817-920-1855
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | NORMAN JOEL MCCALL
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Credential | M.D., PHD
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Telephone | 682-312-7919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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