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General NPI Number Information
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NPI Number | 1205928975
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Entity Type | Individual
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Provider Name | J. CHAD DAVIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 3560 DELAWARE ST STE 1202
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City | BEAUMONT
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State | TX
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Zip | 77706-3061
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Country | US
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Telephone | 409-363-5711
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Fax | 409-363-5712
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Provider Business Mailing Address
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Address Line | PO BOX 7446
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City | BEAUMONT
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State | TX
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Zip | 77726-7446
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Country | US
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Telephone | 409-363-5711
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Fax | 409-363-5712
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | K1998
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License Number State | TX
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