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General NPI Number Information
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NPI Number | 1669533725
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Entity Type | Individual
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Provider Name | BYRON A DAVIS D.D.S, M.S.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 4 OKATIE CENTER BLVD S STE 103
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City | OKATIE
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State | SC
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Zip | 29909
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Country | US
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Telephone | 843-705-9551
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Fax | 843-705-9552
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Provider Business Mailing Address
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Address Line | 11706 MERCY BLVD SUITE 2
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City | SAVANNAH
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State | GA
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Zip | 31419
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Country | US
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Telephone | 912-925-3400
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DN013298
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 4182
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License Number State | SC
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