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General NPI Number Information
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NPI Number | 1497566392
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Entity Type | Individual
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Provider Name | ASHLEY DANIELLE DAVIS
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 633 E 131ST ST
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City | CLEVELAND
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State | OH
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Zip | 44108-2034
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Country | US
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Telephone | 216-396-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 633 E 131ST ST
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City | CLEVELAND
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State | OH
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Zip | 44108-2034
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Country | US
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Telephone | 216-801-2292
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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 | 186972
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License Number State | OH
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