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General NPI Number Information
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NPI Number | 1437329158
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Entity Type | Individual
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Provider Name | BARBARA JOAN DAVIS NP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 6144 ROUTE 25A
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City | WADING RIVER
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State | NY
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Zip | 11792-2018
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Country | US
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Telephone | 631-929-1256
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Fax | 631-929-8313
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Provider Business Mailing Address
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Address Line | 6144 ROUTE 25A STE C
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City | WADING RIVER
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State | NY
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Zip | 11792-2018
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Country | US
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Telephone | 631-929-1256
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Fax | 631-929-8313
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 335336
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License Number State | NY
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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 | F335336-1
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License Number State | NY
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