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General NPI Number Information
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NPI Number | 1770161259
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Entity Type | Individual
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Provider Name | BRIAN STEVEN DAVIS MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2370 CORPORATE CIR STE 230
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City | HENDERSON
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State | NV
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Zip | 89074-7752
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Country | US
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Telephone | 725-235-7883
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Fax | 860-679-6736
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Provider Business Mailing Address
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Address Line | 3300 N TRIUMPH BLVD STE 500
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City | LEHI
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State | UT
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Zip | 84043-6475
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Country | US
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Telephone | 801-821-2781
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Fax | 860-679-4624
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 27856
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License Number State | NV
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