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General NPI Number Information
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NPI Number | 1790830768
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Entity Type | Individual
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Provider Name | CHRISTOPHER JAMES DAVIDSON RPH
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3121 PEACH ORCHARD RD SUITE 101
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City | AUGUSTA
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State | GA
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Zip | 30906-3521
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Country | US
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Telephone | 706-792-5130
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Fax | 706-792-5132
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Provider Business Mailing Address
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Address Line | 4860 BIRDWOOD CT
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City | EVANS
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State | GA
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Zip | 30809-6018
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Country | US
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Telephone | 706-373-4817
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Fax | 706-792-5130
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH017583
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License Number State | GA
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