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General NPI Number Information
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NPI Number | 1104059120
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Entity Type | Individual
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Provider Name | GAIL LYNN DAVENPORT ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 6017TH ST S
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City | ST. PETERSBURG
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State | FL
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Zip | 33701-4748
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Country | US
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Telephone | 727-893-6234
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Fax | 727-553-7798
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Provider Business Mailing Address
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Address Line | 601 7TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4708
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Country | US
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Telephone | 727-893-6234
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Fax | 727-553-7798
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN3351742
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | ARNP3351742
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN3351742
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License Number State | FL
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