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General NPI Number Information
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NPI Number | 1780345108
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Entity Type | Organization
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Legal Business Name | DAVIS THERAPEUTIC SOLUTIONS
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 5611 CLEVELAND ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5142
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Country | US
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Telephone | 732-887-0843
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Fax |
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Provider Business Mailing Address
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Address Line | 15 CROSSBROOK PL
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3710
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Country | US
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Telephone | 732-887-0843
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Fax | 908-248-0868
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHERYL LAWSO
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Credential |
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Telephone | 908-998-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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