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General NPI Number Information
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NPI Number | 1336072347
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Entity Type | Individual
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Provider Name | CHRISTIAN KEVIN DAVIS
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Gender |
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 400 E PRATT ST FL 8
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City | BALTIMORE
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State | MD
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Zip | 21202-3180
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Country | US
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Telephone | 855-832-6727
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Fax | 722-675-9100
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Provider Business Mailing Address
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Address Line | 3 SILENTWOOD CT
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City | OWINGS MILLS
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State | MD
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Zip | 21117-1358
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Country | US
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Telephone | 443-374-8045
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | MD
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