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General NPI Number Information
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NPI Number | 1174994032
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Entity Type | Organization
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Legal Business Name | MONICA DAVILA ARNP-C
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Dates
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Enumeration Date | 10/16/2015
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 2340 CINCINNATI AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405
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Country | US
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Telephone | 321-945-7682
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Fax |
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Provider Business Mailing Address
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Address Line | 2340 CINCINNATI AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405
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Country | US
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Telephone | 321-945-7682
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | MONICA DAVILA
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Credential | ARNP-C
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Telephone | 321-945-7682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | RN9277558
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License Number State | FL
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