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General NPI Number Information
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NPI Number | 1235215609
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Entity Type | Individual
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Provider Name | EUGENE MERLE DAVIDSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 138 W 7TH ST
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City | RUSSELL
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State | KS
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Zip | 67665-1905
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Country | US
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Telephone | 785-483-5356
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Fax | 785-483-3535
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Provider Business Mailing Address
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Address Line | 945 E 2ND ST
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City | RUSSELL
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State | KS
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Zip | 67665-2427
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Country | US
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Telephone | 785-483-3580
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0103118
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License Number State | KS
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