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General NPI Number Information
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NPI Number | 1689733651
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Entity Type | Individual
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Provider Name | JOHN JAMES DAVIDSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 6731 PROFESSIONAL PKWY STE 100
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34240-8491
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Country | US
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Telephone | 941-914-7246
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Fax | 941-360-1362
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Provider Business Mailing Address
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Address Line | 6731 PROFESSIONAL PKWY STE 100
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34240-8491
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Country | US
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Telephone | 941-914-7246
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Fax | 941-360-1362
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | S01967
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | CH13182
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH13182
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License Number State | FL
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