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General NPI Number Information
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NPI Number | 1477012862
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Entity Type | Individual
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Provider Name | JOSHUA EDWARD DAVIS CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/15/2019
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1301 S CRISMON RD
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City | MESA
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State | AZ
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Zip | 85209-3767
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Country | US
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Telephone | 480-358-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 7750 E HERMOSA VISTA DR
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City | MESA
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State | AZ
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Zip | 85207-1214
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Country | US
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Telephone | 931-308-5256
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28290A
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 9429423
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 238288
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License Number State | AZ
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