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General NPI Number Information
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NPI Number | 1760783922
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Entity Type | Organization
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Legal Business Name | JAMES A. DAVIDSON, M.D., P.A.
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 8210 WALNUT HILL LN SUITE 513, LB 43
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City | DALLAS
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State | TX
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Zip | 75231-4405
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Country | US
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Telephone | 214-696-2890
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Fax | 214-373-6735
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Provider Business Mailing Address
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Address Line | 8210 WALNUT HILL LN SUITE 513, LB 43
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City | DALLAS
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State | TX
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Zip | 75231-4405
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Country | US
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Telephone | 214-696-2890
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Fax | 214-373-6735
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES A DAVIDSON
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Credential | M.D.
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Telephone | 214-696-2890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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