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General NPI Number Information
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NPI Number | 1316771835
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Entity Type | Individual
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Provider Name | ROSANNA MARIE DAVIS CADC-CAS
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Gender | Female
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Dates
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Enumeration Date | 08/27/2024
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1164 N A ST
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City | OXNARD
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State | CA
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Zip | 93030-4369
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Country | US
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Telephone | 805-330-7213
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Fax |
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Provider Business Mailing Address
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Address Line | 3640 S G ST
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City | OXNARD
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State | CA
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Zip | 93033-6040
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Country | US
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Telephone | 805-330-7213
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C052400518
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License Number State | CA
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