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General NPI Number Information
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NPI Number | 1740497841
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Entity Type | Individual
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Provider Name | RALPH D DAVIS DC
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 29 MILLARD FARMER IND BLVD SUITE A1
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City | NEWNAN
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State | GA
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Zip | 30263-5821
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Country | US
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Telephone | 404-358-5787
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Fax |
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Provider Business Mailing Address
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Address Line | 96 HIGH POINT NORTH DR
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City | NEWNAN
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State | GA
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Zip | 30265-5907
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Country | US
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Telephone | 404-358-5787
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR007955
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License Number State | GA
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