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General NPI Number Information
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NPI Number | 1851616155
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Entity Type | Individual
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Provider Name | JOHN CARL DAVIDSON JR. DPT,MOTR
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Gender | Male
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 3726 BATTLEGROUND AVE STE B
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City | GREENSBORO
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State | NC
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Zip | 27410-2344
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Country | US
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Telephone | 336-265-6731
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Fax | 336-313-0973
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Provider Business Mailing Address
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Address Line | PO BOX 38155
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City | GREENSBORO
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State | NC
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Zip | 27438-8155
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Country | US
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Telephone | 336-265-6731
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Fax | 336-313-0973
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P12311
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 7348
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305205753
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License Number State | VA
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