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NPI 1235998394

NPI 1235998394 : KIERA DAVIS : REYNOLDSBURG, OH

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General NPI Number Information
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    NPI Number           |    1235998394
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    Entity Type          |    Individual 
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    Provider Name        |    KIERA DAVIS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/18/2024
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    Last Update Date     |    12/29/2025
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Provider Practice Location Address
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    Address Line         |    2014 BALTIMORE REYNOLDSBURG RD 
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    City                 |    REYNOLDSBURG
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    State                |    OH
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    Zip                  |    43068-3261
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    Country              |    US
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    Telephone            |    614-533-8989
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    Fax                  |    614-533-1134
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7527 
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    City                 |    DUBLIN
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    State                |    OH
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    Zip                  |    43017-0727
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    Country              |    US
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    Telephone            |    
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN.519806
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    APRN.CNP.0037211
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    License Number State |    OH
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