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General NPI Number Information
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NPI Number | 1467356287
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Entity Type | Individual
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Provider Name | ELIZABETH J DAVIS ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 715 N PARK CTR
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City | SELAH
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State | WA
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Zip | 98942-1174
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Country | US
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Telephone | 509-698-2624
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Fax | 509-698-2664
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Provider Business Mailing Address
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Address Line | 821 ROZA DR
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City | ZILLAH
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State | WA
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Zip | 98953-9352
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Country | US
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Telephone | 509-217-9453
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | WA
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