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General NPI Number Information
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NPI Number | 1629167531
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Entity Type | Individual
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Provider Name | CAROL E. DAVIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 3838 W CARSON ST STE 105
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City | TORRANCE
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State | CA
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Zip | 90503-6703
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Country | US
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Telephone | 310-543-4546
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Fax | 310-543-1519
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Provider Business Mailing Address
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Address Line | 3838 W CARSON ST STE 105
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City | TORRANCE
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State | CA
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Zip | 90503-6703
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Country | US
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Telephone | 310-543-4546
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Fax | 310-543-1519
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G50376
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License Number State | CA
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