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General NPI Number Information
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NPI Number | 1386603967
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Entity Type | Individual
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Provider Name | MONIKA AURELIA DAVIES CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 151 MAIN ST
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City | SHREWSBURY
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State | MA
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Zip | 01545-2101
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Country | US
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Telephone | 844-258-4272
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Fax |
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Provider Business Mailing Address
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Address Line | 511 HILLTOP RD
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City | LANCASTER
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State | MA
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Zip | 01523-2135
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Country | US
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Telephone | 309-360-3329
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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 | 041-295065
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN2338967
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN.0990451-CRNA
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License Number State | CO
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