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General NPI Number Information
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NPI Number | 1932143013
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Entity Type | Individual
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Provider Name | WILLIAM DAVIDSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 6255 INKSTER RD
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City | GARDEN CITY
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State | MI
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Zip | 48135-2538
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Country | US
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Telephone | 734-425-7230
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Fax | 734-425-7927
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Provider Business Mailing Address
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Address Line | 16665 LYONHURST CIR
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City | NORTHVILLE
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State | MI
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Zip | 48168-4420
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Country | US
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Telephone | 248-924-2081
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | WD006199
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License Number State | MI
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