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General NPI Number Information
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NPI Number | 1063189629
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Entity Type | Individual
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Provider Name | DEANNA R DAVIS LMT
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Gender | Female
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 3626 KEECHI CREEK DR
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City | PROSPER
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State | TX
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Zip | 75078-2687
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Country | US
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Telephone | 945-381-6545
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Fax |
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Provider Business Mailing Address
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Address Line | 3626 KEECHI CREEK DR
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City | PROSPER
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State | TX
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Zip | 75078-2687
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Country | US
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Telephone | 945-381-6545
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 76385
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 146585
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | TX
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