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General NPI Number Information
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NPI Number | 1023793213
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH DAVIS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 655 W 8TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6511
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Country | US
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Telephone | 904-244-5207
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Fax |
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Provider Business Mailing Address
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Address Line | 14304 MARINA SAN PABLO PL APT 304
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City | JACKSONVILLE
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State | FL
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Zip | 32224-4904
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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 | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number | PS65630
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License Number State | FL
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