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General NPI Number Information
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NPI Number | 1649509746
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Entity Type | Organization
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Legal Business Name | FLORENCE DAVIDOVSKI, M. D.,P.A.
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 12/18/2009
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Provider Practice Location Address
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Address Line | 3449 WILKENS AVE SUITE 101
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City | BALTIMORE
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State | MD
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Zip | 21229-5281
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Country | US
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Telephone | 410-646-5869
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Fax | 410-646-5869
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Provider Business Mailing Address
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Address Line | 3449 WILKENS AVE SUITE 101
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City | BALTIMORE
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State | MD
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Zip | 21229-5281
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Country | US
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Telephone | 410-646-5869
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Fax | 410-646-5869
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. FLORENCE DAVIDOVSKI
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Credential | M.D.
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Telephone | 410-646-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0033449
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License Number State | MD
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