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General NPI Number Information
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NPI Number | 1447511779
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Entity Type | Individual
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Provider Name | RACHELL P DAVIS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 3719 BENSON DR SUITE 200
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City | RALEIGH
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State | NC
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Zip | 27609-7324
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Country | US
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Telephone | 919-800-0757
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Fax | 866-626-1755
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Provider Business Mailing Address
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Address Line | 3719 BENSON DR
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City | RALEIGH
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State | NC
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Zip | 27609-7324
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Country | US
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Telephone | 919-800-0757
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Fax | 866-626-1755
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 134272
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License Number State | NC
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