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General NPI Number Information
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NPI Number | 1134173404
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Entity Type | Individual
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Provider Name | DANIEL G. DAVIS D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 9101 N CENTRAL EXPY STE 370
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City | DALLAS
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State | TX
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Zip | 75231-5947
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Country | US
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Telephone | 214-820-8220
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Fax |
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Provider Business Mailing Address
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Address Line | 9101 N CENTRAL EXPY STE 370
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City | DALLAS
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State | TX
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Zip | 75231-5947
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Country | US
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Telephone | 214-820-8220
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M9246
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License Number State | TX
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