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General NPI Number Information
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NPI Number | 1912347907
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Entity Type | Organization
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Legal Business Name | DAVIS GENERAL SURGERY
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Dates
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Enumeration Date | 07/05/2013
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 3150 N TENAYA WAY SUITE 550
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City | LAS VEGAS
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State | NV
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Zip | 89128-0443
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Country | US
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Telephone | 702-648-9400
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Fax | 702-636-0249
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Provider Business Mailing Address
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Address Line | 3150 N TENAYA WAY SUITE 550
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City | LAS VEGAS
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State | NV
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Zip | 89128-0443
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALLSION K DAVIS
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Credential | MD
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Telephone | 702-277-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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