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General NPI Number Information
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NPI Number | 1346312386
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Entity Type | Individual
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Provider Name | RICARDO DAVILA DDS
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2845 GENERAL PULLER HWY
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City | SALVA
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State | VA
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Zip | 23149
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Country | US
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Telephone | 804-758-3806
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Fax | 804-758-3807
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Provider Business Mailing Address
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Address Line | P O BOX 177
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City | LOCUST HILL
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State | VA
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Zip | 23092
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Country | US
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Telephone | 804-758-3806
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Fax | 804-758-3807
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 06652
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License Number State | VA
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