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General NPI Number Information
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NPI Number | 1396112314
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Entity Type | Individual
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Provider Name | SARA MICHELE DAVENPORT NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 13410 OAKRIDGE DR
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City | KEARNEY
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State | MO
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Zip | 64060-8337
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Country | US
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Telephone | 310-892-0893
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Fax |
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Provider Business Mailing Address
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Address Line | 13410 OAKRIDGE DR
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City | KEARNEY
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State | MO
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Zip | 64060-8337
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Country | US
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Telephone | 310-892-0893
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-241358
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277003767
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2023014755
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61167914
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10001888
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95002189
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP200004045
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License Number State | DC
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-81804-122
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License Number State | KS
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 090099-21
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License Number State | NH
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