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General NPI Number Information
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NPI Number | 1851355614
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Entity Type | Individual
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Provider Name | WILLIAM DAVIDSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 12502 WILLOWBROOK RD
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City | CUMBERLAND
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State | MD
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Zip | 21502-6491
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Country | US
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Telephone | 240-964-8720
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Fax |
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Provider Business Mailing Address
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Address Line | 305 HOSPITAL DR SUITE 305 TATE CENTER
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5805
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Country | US
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Telephone | 410-768-3701
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Fax | 410-766-0881
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D0014147
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | D14747
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 51208
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D14747
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License Number State | MD
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