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General NPI Number Information
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NPI Number | 1760463830
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Entity Type | Individual
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Provider Name | BRIAN ADAM DAVIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 8930 W SUNSET RD STE 140
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City | LAS VEGAS
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State | NV
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Zip | 89148-5009
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Country | US
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Telephone | 702-968-3240
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Fax | 702-862-8227
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Provider Business Mailing Address
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Address Line | 6355 S BUFFALO DR FL 3
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City | LAS VEGAS
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State | NV
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Zip | 89113-2133
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Country | US
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Telephone | 702-216-3346
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | G85393
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 20169
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License Number State | NV
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