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General NPI Number Information
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NPI Number | 1003814468
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Entity Type | Individual
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Provider Name | LASONYA ADELE DAVIS NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 21 W CLARKE AVE STE 1030
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City | MILFORD
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State | DE
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Zip | 19963-1857
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Country | US
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Telephone | 302-742-9434
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Fax |
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Provider Business Mailing Address
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Address Line | 21 W CLARKE AVE STE 1030
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City | MILFORD
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State | DE
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Zip | 19963-1857
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Country | US
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Telephone | 302-742-9434
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0010634
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NPF13746
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | LH-0010288
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NPF13746
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License Number State | CA
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