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General NPI Number Information
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NPI Number | 1568977833
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Entity Type | Organization
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Legal Business Name | ARTHUR T DAVIDSON JR MD PC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 12/08/2017
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Provider Practice Location Address
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Address Line | 514 VISCHER FERRY RD
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City | CLIFTON PARK
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State | NY
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Zip | 12065-1625
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Country | US
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Telephone | 518-709-0286
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Fax |
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Provider Business Mailing Address
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Address Line | 514 VISCHER FERRY RD
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City | CLIFTON PARK
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State | NY
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Zip | 12065-1625
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Country | US
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Telephone | 518-709-0286
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARTHUR T DAVIDSON JR.
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Credential | M.D.
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Telephone | 917-647-9351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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