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General NPI Number Information
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NPI Number | 1306011531
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Entity Type | Organization
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Legal Business Name | DAVIS AND BEYER DENTAL HEALTH PROFESSIONALS
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 1218 E VENICE AVE
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City | VENICE
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State | FL
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Zip | 34285-2151
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Country | US
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Telephone | 941-488-1075
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Fax | 941-484-6277
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Provider Business Mailing Address
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Address Line | 1218 E VENICE AVE
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City | VENICE
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State | FL
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Zip | 34285-2151
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Country | US
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Telephone | 941-488-1075
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Fax | 941-484-6277
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CHRISTINE JOHNS
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Credential |
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Telephone | 941-488-1075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN13406
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN12086
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN11434
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License Number State | FL
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