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General NPI Number Information
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NPI Number | 1669489738
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Entity Type | Individual
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Provider Name | DOUGLAS J DAVIES MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 3230 NE 55TH AVE
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City | SILVER SPRINGS
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State | FL
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Zip | 34488-1721
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Country | US
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Telephone | 352-509-5720
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Fax | 352-509-5890
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Provider Business Mailing Address
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Address Line | 3230 NE 55TH AVE
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City | SILVER SPRINGS
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State | FL
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Zip | 34488-1721
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Country | US
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Telephone | 352-509-5720
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Fax | 352-509-5890
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | ME43052
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License Number State | FL
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