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General NPI Number Information
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NPI Number | 1518226000
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Entity Type | Individual
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Provider Name | ERIK ANTHONY DAVIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 3434 HOUMA BLVD STE 301
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City | METAIRIE
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State | LA
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Zip | 70006-4201
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Country | US
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Telephone | 504-754-2334
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Fax |
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Provider Business Mailing Address
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Address Line | 2706 HESSMER AVE STE A
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City | METAIRIE
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State | LA
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Zip | 70002-7046
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Country | US
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Telephone | 504-635-2601
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Fax | 504-324-2078
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD.33235
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | D84689
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0100263879
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License Number State | VA
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