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General NPI Number Information
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NPI Number | 1841595014
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Entity Type | Organization
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Legal Business Name | J. CHRISTOPHER DAVIS, PLLC
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 2161 VALLEYDALE RD
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City | HOOVER
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State | AL
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Zip | 35244-2010
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Country | US
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Telephone | 205-988-6858
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Fax | 205-987-3501
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Provider Business Mailing Address
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Address Line | 2161 VALLEYDALE RD
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City | HOOVER
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State | AL
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Zip | 35244-2010
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Country | US
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Telephone | 205-988-6858
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Fax | 205-987-3501
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JOHN CHRISTOPHER DAVIS
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Credential | M.D.
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Telephone | 205-988-6858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 00025648
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License Number State | AL
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