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General NPI Number Information
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NPI Number | 1396940540
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Entity Type | Organization
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Legal Business Name | JOSEPH F. DAVIDOW, M.D., P.A.
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 2400 AUGUSTA DR STE 470
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City | HOUSTON
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State | TX
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Zip | 77057-4984
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Country | US
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Telephone | 713-785-9985
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 AUGUSTA DR STE 470
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City | HOUSTON
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State | TX
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Zip | 77057-4984
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Country | US
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Telephone | 713-785-9985
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH DAVIDOW
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Credential | M.D.
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Telephone | 713-785-9985
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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 | E9596
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License Number State | TX
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