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General NPI Number Information
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NPI Number | 1699269597
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Entity Type | Individual
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Provider Name | TALON A DAVIS DDS
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Gender | Male
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 4412 MATLOCK RD STE 200
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City | ARLINGTON
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State | TX
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Zip | 76018-1026
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Country | US
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Telephone | 817-465-3454
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Fax |
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Provider Business Mailing Address
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Address Line | 2907 NEWSOM RIDGE DR
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City | MANSFIELD
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State | TX
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Zip | 76063-3194
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Country | US
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Telephone | 405-650-9901
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 33998
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License Number State | TX
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