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General NPI Number Information
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NPI Number | 1427060896
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Entity Type | Organization
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Legal Business Name | DAVIS MEDICAL CENTER
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 55 S 6TH ST
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4237
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Country | US
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Telephone | 928-634-5118
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Fax | 928-634-8522
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Provider Business Mailing Address
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Address Line | 55 S 6TH ST
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4237
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Country | US
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Telephone | 928-634-5118
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Fax | 928-634-8522
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Authorized Official
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Title or Position | MANAGER
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Name | PAUL H QUINTERO
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Credential |
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Telephone | 928-634-5118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2222
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License Number State | AZ
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