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General NPI Number Information
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NPI Number | 1083741995
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Entity Type | Individual
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Provider Name | JENNIFER L DAVIS PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 301 S MAIN ST STE C
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City | CAVE CITY
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State | AR
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Zip | 72521-9224
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Country | US
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Telephone | 870-283-5589
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Fax |
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Provider Business Mailing Address
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Address Line | 120 S WILSON WELL RD
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City | CAVE CITY
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State | AR
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Zip | 72521-9720
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Country | US
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Telephone | 870-283-5403
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | AR-09175
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License Number State | AR
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