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General NPI Number Information
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NPI Number | 1447408422
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Entity Type | Individual
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Provider Name | AMY MARIE DAVIS
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 1634 DOWNING ST
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City | DENVER
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State | CO
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Zip | 80218-1529
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Country | US
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Telephone | 303-504-1800
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Fax | 303-504-1815
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Provider Business Mailing Address
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Address Line | 12801 LAFAYETTE ST UNIT G208
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City | THORNTON
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State | CO
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Zip | 80241-1818
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | P321576
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License Number State | MS
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