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General NPI Number Information
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NPI Number | 1215970686
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Entity Type | Individual
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Provider Name | TODD DAVIS MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 2525 COURT DR
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City | GASTONIA
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State | NC
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Zip | 28054
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Country | US
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Telephone | 704-834-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12845
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City | GASTONIA
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State | NC
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Zip | 28052
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Country | US
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Telephone | 704-834-2825
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Fax | 704-866-7853
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 9800836
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License Number State | NC
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