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General NPI Number Information
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NPI Number | 1396282398
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Entity Type | Organization
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Legal Business Name | DAVIES PATHOLOGY & INDUSTRY, INC.
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Dates
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Enumeration Date | 01/27/2017
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Last Update Date | 01/27/2017
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Provider Practice Location Address
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Address Line | 9520 CHESAPEAKE DR SUITE 607
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City | SAN DIEGO
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State | CA
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Zip | 92123-1370
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Country | US
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Telephone | 858-492-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 9520 CHESAPEAKE DR SUITE 607
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City | SAN DIEGO
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State | CA
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Zip | 92123-1370
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Country | US
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Telephone | 858-492-9500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AUSTIN DAVIES
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Credential | D.D.S.
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Telephone | 415-823-2878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 62847
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License Number State | CA
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