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General NPI Number Information
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NPI Number | 1386915627
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Entity Type | Individual
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Provider Name | NICOLE ELAINE DAVIS MD, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 6325 US HIGHWAY 27 N STE 201
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City | SEBRING
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State | FL
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Zip | 33870-8226
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Country | US
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Telephone | 863-382-9600
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Fax | 863-382-0107
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Provider Business Mailing Address
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Address Line | 1109 E FAIRVIEW AVE APT 300
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City | MONTGOMERY
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State | AL
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Zip | 36106-2239
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Country | US
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Telephone | 205-617-1177
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14302
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME162422
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License Number State | FL
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