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General NPI Number Information
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NPI Number | 1578890133
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Entity Type | Individual
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Provider Name | JENNIFER BENNETT DAVIS ICCE-CD
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Gender | Female
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 403 S GLANCY ST
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City | SWANSBORO
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State | NC
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Zip | 28584-9656
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Country | US
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Telephone | 910-787-3693
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Fax | 910-326-2828
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Provider Business Mailing Address
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Address Line | PO BOX 338
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City | SWANSBORO
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State | NC
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Zip | 28584-0338
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Country | US
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Telephone | 910-787-3693
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Fax | 910-326-2828
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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 | 374J00000X
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Taxonomy Name | Doula
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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