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General NPI Number Information
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NPI Number | 1487809539
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Entity Type | Individual
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Provider Name | MARY ELIZABETH DAVIDSON RN
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Gender | Female
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Dates
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Enumeration Date | 11/17/2008
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 11500 NORTHLAKE DR SUITE 200
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City | CINCINNATI
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State | OH
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Zip | 45249-1650
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Country | US
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Telephone | 513-247-4296
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Fax |
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Provider Business Mailing Address
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Address Line | 6326 LAKE FRONT
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City | MASON
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State | OH
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Zip | 45040-7779
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Country | US
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Telephone | 513-492-8107
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | RN 174326
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License Number State | OH
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