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General NPI Number Information
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NPI Number | 1376577296
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Entity Type | Organization
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Legal Business Name | ALON DAVIS MD PA
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 2049 S OCEAN DR PH 9
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-6629
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Country | US
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Telephone | 410-251-1998
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Fax |
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Provider Business Mailing Address
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Address Line | 100 POWER ST
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City | SALISBURY
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State | MD
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Zip | 21804-6940
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Country | US
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Telephone | 410-543-2060
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Fax | 410-543-2051
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ELLA FISHBERG DAVIS
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Credential | RN
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Telephone | 410-251-1998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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