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General NPI Number Information
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NPI Number | 1255470076
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Entity Type | Organization
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Legal Business Name | OLWYN K DAVIES MD PC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 410 WELCH STREET
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City | SILVERTON
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State | OR
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Zip | 97381
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Country | US
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Telephone | 503-873-5331
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Fax | 503-873-8513
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Provider Business Mailing Address
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Address Line | PO BOX 537 410 WELCH STREET
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City | SILVERTON
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State | OR
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Zip | 97381
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Country | US
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Telephone | 503-873-5331
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Fax | 503-873-8513
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Authorized Official
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Title or Position | OWNER
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Name | DR. OLWYN KENNETH DAVIES
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Credential | MD
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Telephone | 503-873-5331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD05350
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License Number State | OR
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