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General NPI Number Information
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NPI Number | 1427795772
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Entity Type | Individual
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Provider Name | DAVIS E GARRISON DDS
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Gender | Male
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/21/2022
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Provider Practice Location Address
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Address Line | 910 KATHERINE AVE STE A
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City | ASHLAND
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State | OH
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Zip | 44805-3692
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Country | US
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Telephone | 419-281-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 950 DORCHESTER WAY UNIT 319
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City | COLUMBUS
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State | OH
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Zip | 43212-3929
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Country | US
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Telephone | 567-215-5140
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.026820
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License Number State | OH
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