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General NPI Number Information
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NPI Number | 1538693866
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Entity Type | Organization
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Legal Business Name | DAVIS MEDICAL ELECTRONICS, LLC
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 2441 CADES WAY STE 200
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City | VISTA
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State | CA
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Zip | 92081-7884
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Country | US
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Telephone | 760-727-4686
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Fax |
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Provider Business Mailing Address
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Address Line | 2441 CADES WAY STE 200
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City | VISTA
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State | CA
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Zip | 92081-7884
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Country | US
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Telephone | 760-727-4686
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. CHARLES RANDALL DAVIS
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Credential |
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Telephone | 760-727-4686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246X00000X
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Taxonomy Name | Cardiovascular Specialist/Technologist
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License Number |
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License Number State |
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