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General NPI Number Information
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NPI Number | 1184262941
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Entity Type | Individual
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Provider Name | MICHELE LINNETTE DAVIS FNP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 3135 PROSPECT AVE
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City | KANSAS CITY
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State | MO
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Zip | 64128-1552
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Country | US
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Telephone | 816-209-1237
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Fax | 816-209-1238
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Provider Business Mailing Address
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Address Line | 3135 PROSPECT AVE
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City | KANSAS CITY
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State | MO
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Zip | 64128-1552
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Country | US
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Telephone | 816-209-1237
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Fax | 816-577-5091
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2020021045
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License Number State | MO
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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 | 53-79143-092
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 79143
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License Number State | KS
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