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NPI Profile for MR. DAVIS R DODGE in RIVERVIEW, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1245924562 |
|
| Status | Active | |
| Credentials | M.S. | |
| Entity | Individual | |
| Enumeration date | 06/08/2023 | |
| Last updated | 05/26/2026 - About 2 weeks ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DAVIS R DODGE
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DAVIS R DODGE, M.S.