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General NPI Number Information
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NPI Number | 1013456201
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Entity Type | Individual
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Provider Name | TAMIKA DAVIS NP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 32605 W 12 MILE RD STE 195
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3390
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Country | US
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Telephone | 313-306-2023
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Fax | 888-442-6976
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Provider Business Mailing Address
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Address Line | 7710 E WOODBRIDGE CIR
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City | WESTLAND
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State | MI
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Zip | 48185-6751
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704272126
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License Number State | MI
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