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General NPI Number Information
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NPI Number | 1598932642
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Entity Type | Individual
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Provider Name | NATHANIEL DAVIS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 19961 KATY FWY
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City | HOUSTON
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State | TX
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Zip | 77094-1019
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Country | US
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Telephone | 713-244-7799
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Fax | 832-321-3766
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Provider Business Mailing Address
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Address Line | 11219 COPPER SHORES LN
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City | RICHMOND
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State | TX
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Zip | 77406-1675
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Country | US
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Telephone | 313-618-1041
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901014313
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23120
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501001870
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License Number State | MI
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