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General NPI Number Information
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NPI Number | 1427243831
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Entity Type | Individual
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Provider Name | ASHLEY POE DAVIS CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 7460 LEBANON CHURCH RD
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City | TALBOTT
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State | TN
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Zip | 37877-8940
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Country | US
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Telephone | 423-408-2826
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Fax | 423-839-2115
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Provider Business Mailing Address
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Address Line | 1992 COOKS VALLEY RD
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City | KINGSPORT
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State | TN
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Zip | 37664-5117
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Country | US
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Telephone | 423-967-4110
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN0000007959
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 125141
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License Number State | TN
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