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General NPI Number Information
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NPI Number | 1215043807
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Entity Type | Individual
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Provider Name | ELLIOT B DAVIDSON MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 400 WABASH AVE #301
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City | AKRON
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State | OH
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Zip | 44307-2433
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Country | US
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Telephone | 330-344-6047
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Fax | 330-344-6042
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Provider Business Mailing Address
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Address Line | 400 WABASH AVE #301
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City | AKRON
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State | OH
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Zip | 44307-2433
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Country | US
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Telephone | 330-344-6047
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Fax | 330-344-6042
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35049124
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License Number State | OH
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