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General NPI Number Information
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NPI Number | 1356577431
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Entity Type | Individual
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Provider Name | LINDA SUE DAVIS RN, GCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 06/03/2009
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Provider Practice Location Address
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Address Line | 330 PICO DR
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City | PULASKI
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State | VA
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Zip | 24301-4727
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Country | US
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Telephone | 540-320-1534
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Fax |
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Provider Business Mailing Address
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Address Line | 330 PICO DR
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City | PULASKI
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State | VA
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Zip | 24301-4727
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Country | US
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Telephone | 540-320-1534
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 0015000868
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License Number State | VA
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