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General NPI Number Information
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NPI Number | 1992332092
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Entity Type | Individual
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Provider Name | DAVIS COPELAND DIAMOND MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 391 SERPENTINE DR STE 440
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City | SPARTANBURG
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State | SC
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Zip | 29303-3081
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Country | US
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Telephone | 864-410-1973
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Fax | 864-288-2554
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Provider Business Mailing Address
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Address Line | 300 ASHBY PARK LN
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City | GREENVILLE
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State | SC
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Zip | 29607-6903
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Country | US
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Telephone | 864-288-1154
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Fax | 864-288-2554
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 94051
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License Number State | SC
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