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General NPI Number Information
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NPI Number | 1124797154
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Entity Type | Individual
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Provider Name | LINDA LEE DAVIDSON NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 919 NW 57TH ST STE 10
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City | GAINESVILLE
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State | FL
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Zip | 32605-6437
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Country | US
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Telephone | 352-474-8686
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Fax | 352-364-4163
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Provider Business Mailing Address
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Address Line | 919 NW 57TH ST SUITE 10
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City | GAINESVILLE
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State | FL
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Zip | 32605
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Country | US
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Telephone | 352-474-8686
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | RN9279902
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11015454
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11015454
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License Number State | FL
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