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General NPI Number Information
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NPI Number | 1518198340
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Entity Type | Individual
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Provider Name | RUSH MARTIN DAVIDSON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 5900 W CHESTER RD STE G
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City | WEST CHESTER
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State | OH
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Zip | 45069-2951
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Country | US
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Telephone | 513-682-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 W CHESTER RD STE E
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City | WEST CHESTER
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State | OH
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Zip | 45069-2951
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Country | US
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Telephone | 513-682-2345
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 30.024125
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License Number State | OH
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