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General NPI Number Information
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NPI Number | 1396776563
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Entity Type | Organization
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Legal Business Name | ROBERT A DAVIS, MD FAMILY PRACTICE
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 12/30/2023
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Provider Practice Location Address
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Address Line | 145 N MAIN ST # 200
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City | DUBLIN
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State | PA
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Zip | 18917-2107
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Country | US
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Telephone | 215-249-9020
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Fax | 215-249-3469
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Provider Business Mailing Address
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Address Line | PO BOX 77
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City | DUBLIN
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State | PA
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Zip | 18917-0077
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Country | US
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Telephone | 152-429-0202
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Fax | 215-249-3469
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PATRICIA HOFFMAN
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Credential |
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Telephone | 267-736-4850
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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 | MD039330L
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License Number State | PA
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