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General NPI Number Information
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NPI Number | 1356658264
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Entity Type | Individual
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Provider Name | GARET S DAVIS D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9480 BASELINE RD
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City | ALTA LOMA
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State | CA
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Zip | 91701-5822
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Country | US
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Telephone | 909-285-4561
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Fax |
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Provider Business Mailing Address
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Address Line | 109 INTERNATIONAL DR STE 200
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City | FRANKLIN
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State | TN
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Zip | 37067-1763
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Country | US
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Telephone | 615-271-2757
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Fax | 629-230-2377
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 33635
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 3473
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License Number State | TN
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