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General NPI Number Information
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NPI Number | 1962475368
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Entity Type | Individual
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Provider Name | RICHARD KEARNS DAVIS JR. DC
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 408 1ST AVE S
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City | CONOVER
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State | NC
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Zip | 28613-2704
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Country | US
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Telephone | 828-464-7791
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Fax | 828-465-4062
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Provider Business Mailing Address
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Address Line | 408 1ST AVE S
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City | CONOVER
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State | NC
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Zip | 28613-2704
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Country | US
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Telephone | 828-464-7791
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Fax | 828-465-4062
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1387
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2461
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License Number State | SC
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