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General NPI Number Information
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NPI Number | 1962723304
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Entity Type | Individual
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Provider Name | JENNIFER L DAVIS DC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 4641 MONTGOMERY AVE STE 404
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City | BETHESDA
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State | MD
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Zip | 20814-3431
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Country | US
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Telephone | 240-670-0081
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Fax | 240-858-6197
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Provider Business Mailing Address
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Address Line | 4061 POWDER MILL ROAD SUITE 101
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City | CALVERTON
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State | MD
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Zip | 20705
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Country | US
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Telephone | 301-444-4890
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Fax | 301-444-4893
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 03621
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | S03621
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 0104556804
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License Number State | VA
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