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General NPI Number Information
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NPI Number | 1083991467
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Entity Type | Individual
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Provider Name | DEBORAH KAY DAVIS
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Gender | Female
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Dates
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Enumeration Date | 11/13/2011
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Last Update Date | 11/13/2011
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Provider Practice Location Address
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Address Line | 904 COLUMBUS AVE
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City | LEBANON
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State | OH
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Zip | 45036-1402
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Country | US
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Telephone | 513-934-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 1807 WINDFLOWER CT
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City | LEBANON
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State | OH
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Zip | 45036-1965
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Country | US
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Telephone | 513-422-0198
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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 | 03120721
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17757
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License Number State | IA
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