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General NPI Number Information
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NPI Number | 1265650717
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Entity Type | Organization
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Legal Business Name | DR. ROY C. DAVIS, P.C.
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Dates
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Enumeration Date | 04/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8080 WARD PKWY SUITE 140
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City | KANSAS CITY
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State | MO
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Zip | 64114-2034
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Country | US
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Telephone | 816-444-7688
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 NW 75TH CT
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City | KANSAS CITY
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State | MO
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Zip | 64151-4258
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Country | US
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Telephone | 816-741-1914
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROY C. DAVIS
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Credential |
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Telephone | 816-444-7688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 00978
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License Number State | MO
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