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Individual
MR. ROBERT T. DAVIS
Active
Individual
MR. ROBERT T. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, L.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
091-0000072
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030362348
FEDERAL TAX ID
VT
Enumeration date
03/15/2007
Last updated
04/20/2023
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