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General NPI Number Information
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NPI Number | 1518162494
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Entity Type | Individual
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Provider Name | DEBORAH LEES DAVIS R.N.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 1679 SUNSET AVE
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City | FAIRFIELD
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State | CA
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Zip | 94533-4151
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Country | US
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Telephone | 707-803-5007
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 485
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City | SUISUN CITY
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State | CA
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Zip | 94585-0485
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Country | US
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Telephone | 707-580-7849
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | A4785151
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | A4785151
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 426360
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | A4785151
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License Number State | CA
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