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General NPI Number Information
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NPI Number | 1417355405
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Entity Type | Individual
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Provider Name | CHRISTOPHER EVERETT DAVIS DPT
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Gender | Male
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 4500 MONTEVALLO RD STE B108
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City | IRONDALE
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State | AL
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Zip | 35210-3129
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Country | US
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Telephone | 205-957-0870
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Fax | 205-957-0872
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Provider Business Mailing Address
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Address Line | 8823 PRODUCTION LN
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City | OOLTEWAH
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State | TN
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Zip | 37363-6511
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Country | US
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Telephone | 423-238-7217
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Fax | 423-238-3473
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH7481
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License Number State | AL
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