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General NPI Number Information
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NPI Number | 1619596228
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Entity Type | Individual
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Provider Name | DAVIS MARK AASEN MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1601 CLINT MOORE RD
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City | BOCA RATON
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State | FL
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Zip | 33487-2768
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Country | US
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Telephone | 561-391-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 263 FARMINGTON AVE
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City | FARMINGTON
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State | CT
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Zip | 06030-0001
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Country | US
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Telephone | 869-679-2147
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME171933
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License Number State | FL
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