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General NPI Number Information
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NPI Number | 1972552461
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Entity Type | Individual
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Provider Name | ALAN DEAN DAVIS MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 6130 W PARKER RD #508
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City | PLANO
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State | TX
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Zip | 75093-7912
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Country | US
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Telephone | 972-981-8430
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Fax | 972-981-3242
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Provider Business Mailing Address
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Address Line | 8222 DOUGLAS AVE STE 400
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City | DALLAS
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State | TX
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Zip | 75225-5923
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Country | US
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Telephone | 214-369-6434
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Fax | 214-696-6273
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G0392
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License Number State | TX
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