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General NPI Number Information
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NPI Number | 1568062297
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Entity Type | Organization
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Legal Business Name | DAVIES RECOVERY,LLC
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 10/31/2020
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Provider Practice Location Address
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Address Line | 9503 MIDDLEX DR
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5915
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Country | US
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Telephone | 210-440-0733
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Fax |
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Provider Business Mailing Address
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Address Line | 9503 MIDDLEX DR
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5915
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Country | US
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Telephone | 210-440-0733
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MRS. REBECCA FRITZ
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Credential | PHYSICIAN ASSISTANT
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Telephone | 210-440-0733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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