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General NPI Number Information
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NPI Number | 1376990564
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Entity Type | Individual
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Provider Name | NATHAN MICHAEL DAVIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 617 E ELM ST
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City | SALINA
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State | KS
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Zip | 67401-8537
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Country | US
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Telephone | 785-825-6224
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Fax | 785-833-2363
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Provider Business Mailing Address
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Address Line | 617 E ELM ST
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City | SALINA
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State | KS
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Zip | 67401-8537
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Country | US
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Telephone | 785-825-6224
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Fax | 785-833-2363
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-40178
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License Number State | KS
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