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Individual
JAMES V DAVIDSON
Active
Individual
JAMES V DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCCA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
42
AR
237600000X
Audiologist-Hearing Aid Fitter
229
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106174720
—
AR
01
—
114404720
MCAID PAY TO
AR
Enumeration date
09/15/2006
Last updated
06/08/2016
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