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General NPI Number Information
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NPI Number | 1952441073
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Entity Type | Organization
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Legal Business Name | PHILIP M DAVIS II DDS PA
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 1940 S TUTTLE AVE
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City | SARASOTA
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State | FL
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Zip | 34239-3114
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Country | US
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Telephone | 941-366-9585
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 S TUTTLE AVE
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City | SARASOTA
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State | FL
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Zip | 34239-3114
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Country | US
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Telephone | 941-366-9585
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP M DAVIS II
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Credential | D.D.S.
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Telephone | 941-366-9585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN0005998
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License Number State | FL
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