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General NPI Number Information
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NPI Number | 1346433836
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Entity Type | Organization
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Legal Business Name | ESTHER DAVIS PHD PC
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 3615 NM 528 NW SUITE 110
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City | ALBUQUERQUE
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State | NM
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Zip | 87114
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Country | US
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Telephone | 505-880-8182
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Fax |
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Provider Business Mailing Address
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Address Line | 3615 NM 528 NW SUITE 110
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City | ALBUQUERQUE
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State | NM
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Zip | 87114
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Country | US
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Telephone | 505-880-8182
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ESTHER DINESMAN DAVIS
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Credential | PHD
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Telephone | 505-880-8182
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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 | 519
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License Number State | NM
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