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General NPI Number Information
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NPI Number | 1922341320
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Entity Type | Individual
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Provider Name | JOHN HENRY DAVIS JR. RCP,RRT,RRT-NPS,CPFT
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Gender | Male
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 3460 E LA PALMA AVE
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City | ANAHEIM
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State | CA
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Zip | 92806
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Country | US
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Telephone | 714-644-7581
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Fax |
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Provider Business Mailing Address
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Address Line | 607 S CASITA ST
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City | ANAHEIM
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State | CA
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Zip | 92805-4747
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Country | US
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Telephone | 714-873-6807
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Fax |
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 30282
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 30282
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License Number State | CA
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