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General NPI Number Information
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NPI Number | 1194695759
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Entity Type | Individual
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Provider Name | SIDNEY DAVIS
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Gender | Female
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 6580 FM 78
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City | SAN ANTONIO
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State | TX
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Zip | 78244-1310
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Country | US
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Telephone | 210-666-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 153 WOOD VALLEY DR
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City | ADKINS
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State | TX
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Zip | 78101-2712
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Country | US
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Telephone | 210-666-1212
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 368869
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License Number State | TX
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