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General NPI Number Information
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NPI Number | 1437491271
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Entity Type | Individual
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Provider Name | AMY L DAVIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 900 S CATON AVE DEPARTMENT OF PEDIATRICS
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City | BALTIMORE
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State | MD
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Zip | 21229
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Country | US
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Telephone | 667-234-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 2231 GOUGH ST
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City | BALTIMORE
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State | MD
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Zip | 21231-2637
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Country | US
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Telephone | 617-312-6115
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D81998
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License Number State | MD
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