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General NPI Number Information
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NPI Number | 1780659201
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE DAVIS M.D..
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Gender | Female
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Dates
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Enumeration Date | 02/19/2006
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 3269 N STOCKTON HILL RD
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City | KINGMAN
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State | AZ
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Zip | 86409-3619
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Country | US
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Telephone | 928-757-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 W BERYL AVE
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City | PHOENIX
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State | AZ
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Zip | 85021-1606
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Country | US
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Telephone | 602-467-4757
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Fax | 602-371-4960
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 104296
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01065406A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME173532
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 27239
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License Number State | AZ
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