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General NPI Number Information
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NPI Number | 1174490924
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Entity Type | Organization
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Legal Business Name | EDDIE DAVIS DPM PLLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 12000 RICHMOND AVE STE 370
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City | HOUSTON
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State | TX
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Zip | 77082-2964
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Country | US
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Telephone | 281-531-4100
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Fax | 281-531-9600
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Provider Business Mailing Address
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Address Line | PO BOX 825159
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City | PHILADELPHIA
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State | PA
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Zip | 19182-5159
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Country | US
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Telephone | 866-626-1540
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Fax | 866-386-8526
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | SERGIO ZAPICO
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Credential |
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Telephone | 210-970-8010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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