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General NPI Number Information
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NPI Number | 1407149271
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Entity Type | Organization
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Legal Business Name | CHRISTI M. DAVIS, DDS, PA, II
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 10411 MONCREIFFE RD SUITE 105B
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City | RALEIGH
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State | NC
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Zip | 27617-7819
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Country | US
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Telephone | 919-806-0200
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Fax | 919-806-0211
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Provider Business Mailing Address
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Address Line | 10411 MONCREIFFE RD SUITE 105B
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City | RALEIGH
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State | NC
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Zip | 27617-7819
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Country | US
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Telephone | 919-806-0200
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Fax | 919-806-0211
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTI M. DAVIS
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Credential | DDS
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Telephone | 703-587-3802
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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 | 7533
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License Number State | NC
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