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General NPI Number Information
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NPI Number | 1578583191
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Entity Type | Individual
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Provider Name | WILLIAM LARRY DAVIDSON II MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 8725 COUNTY ROAD 64
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City | DAPHNE
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State | AL
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Zip | 36526
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Country | US
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Telephone | 251-625-1370
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Fax | 251-625-1380
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Provider Business Mailing Address
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Address Line | PO BOX 7987
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City | MOBILE
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State | AL
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Zip | 36670-0987
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Country | US
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Telephone | 251-633-0573
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Fax | 251-633-7367
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 27233
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 27233
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License Number State | AL
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