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General NPI Number Information
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NPI Number | 1427222736
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL DAVIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/09/2018
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Provider Practice Location Address
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Address Line | 2917 EAST HART STREET MARINE CORPS AIR STATION
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City | YUMA
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State | AZ
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Zip | 85369
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Country | US
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Telephone | 928-269-2700
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Fax | 928-269-3184
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Provider Business Mailing Address
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Address Line | 12105 E VIA LOMA VIS
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City | YUMA
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State | AZ
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Zip | 85367-9054
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Country | US
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Telephone | 12-292-7229
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101256106
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License Number State | VA
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