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General NPI Number Information
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NPI Number | 1639306376
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Entity Type | Organization
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Legal Business Name | JOSHUA DAVIDSON, M.D., M.P.H., INC.
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Dates
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Enumeration Date | 06/21/2009
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 3400 LOMITA BLVD SUITE 301
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City | TORRANCE
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State | CA
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Zip | 90505-4909
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Country | US
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Telephone | 310-980-9682
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 LOMITA BLVD SUITE 301
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City | TORRANCE
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State | CA
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Zip | 90505-4909
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Country | US
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Telephone | 310-980-9682
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JOSHUA MICHAEL IAN DAVIDSON
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Credential | M.D., M.P.H.
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Telephone | 310-980-9682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | A88990
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License Number State | CA
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