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General NPI Number Information
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NPI Number | 1205764453
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Entity Type | Organization
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Legal Business Name | DAVIS ADVANCE CARE ADVOCACY
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Dates
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Enumeration Date | 05/09/2026
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Last Update Date | 05/09/2026
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Provider Practice Location Address
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Address Line | 2501 CHATHAM RD STE N
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City | SPRINGFIELD
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State | IL
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Zip | 62704-4188
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Country | US
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Telephone | 618-713-0818
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Fax |
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Provider Business Mailing Address
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Address Line | 3525 DEER RIDGE RD
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City | GOREVILLE
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State | IL
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Zip | 62939-2417
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Country | US
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Telephone | 618-713-0818
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Fax |
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Authorized Official
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Title or Position | FNP-BC, ACHPN
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Name | DR. CYNTHIA DAVIS
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Credential | DNP
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Telephone | 618-713-0818
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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 |
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License Number State |
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