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General NPI Number Information
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NPI Number | 1578754875
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Entity Type | Individual
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Provider Name | JOSEPH BARTLETT DAVIS D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 7350 SANDLAKE COMMONS BLVD MEDPLEX B, SUITE 2212A
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City | ORLANDO
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State | FL
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Zip | 32819
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Country | US
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Telephone | 689-500-4016
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Fax | 689-500-4032
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Provider Business Mailing Address
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Address Line | 9600 BLACKWELL RD STE 500
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City | ROCKVILLE
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State | MD
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Zip | 20850-3783
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Country | US
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Telephone |
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Fax | 855-420-8517
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 255869
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | OS19325
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License Number State | FL
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