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General NPI Number Information
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NPI Number | 1205989308
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Entity Type | Individual
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Provider Name | RHONDA NAOMI DAVIS FNP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1430 E MAIN ST STE 102
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City | SANTA MARIA
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State | CA
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Zip | 93454-4831
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Country | US
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Telephone | 805-928-7951
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Fax | 805-928-6839
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Provider Business Mailing Address
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Address Line | 372 PUESTA DEL SOL
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-1436
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Country | US
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Telephone | 805-481-3534
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14159
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License Number State | CA
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