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General NPI Number Information
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NPI Number | 1225536170
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Entity Type | Individual
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Provider Name | NICHOLAS GEOFFREY DAVIES
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Gender | Male
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 01/25/2018
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Provider Practice Location Address
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Address Line | 160 S OLD SPRINGS RD STE 135
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City | ANAHEIM
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State | CA
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Zip | 92808-1285
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Country | US
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Telephone | 818-345-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 W COMMONWEALTH AVE APT 295
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City | FULLERTON
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State | CA
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Zip | 92833-3019
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Country | US
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Telephone | 714-400-6820
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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