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General NPI Number Information
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NPI Number | 1124902788
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Entity Type | Individual
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Provider Name | CELESTE DAVIS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 9505 CHAD COLLEY BLVD UNIT 4203
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City | FORT SMITH
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State | AR
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Zip | 72916-3312
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Country | US
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Telephone | 479-719-3051
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Fax |
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Provider Business Mailing Address
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Address Line | 9505 CHAD COLLEY BLVD UNIT 4203
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City | FORT SMITH
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State | AR
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Zip | 72916-3312
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Country | US
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Telephone | 479-719-3051
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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 | PD13222
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License Number State | AR
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