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General NPI Number Information
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NPI Number | 1386842052
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Entity Type | Individual
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Provider Name | MAGGIE NOVY DAVIS D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/04/2007
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 3840 TAMPA RD
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City | PALM HARBOR
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State | FL
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Zip | 34684-3600
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Country | US
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Telephone | 727-786-7551
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Fax |
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Provider Business Mailing Address
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Address Line | 5009 W SAN MIGUEL ST
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City | TAMPA
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State | FL
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Zip | 33629-5428
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Country | US
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Telephone | 813-951-2182
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Fax |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN17948
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License Number State | FL
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