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General NPI Number Information
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NPI Number | 1518925973
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Entity Type | Individual
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Provider Name | CHRISTY LYNN DAVIS MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 1430 MASON AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-4551
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Country | US
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Telephone | 386-274-2000
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Fax | 386-274-2009
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Provider Business Mailing Address
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Address Line | 29 TWIN RIVER DR
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City | ORMOND BEACH
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State | FL
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Zip | 32174-4834
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Country | US
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Telephone | 269-274-4431
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME112112
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License Number State | FL
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