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General NPI Number Information
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NPI Number | 1588216915
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Entity Type | Individual
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Provider Name | KAYLA DAVIS PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 301 MED TECH PKWY STE 240
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2641
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Country | US
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Telephone | 423-794-5520
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3889
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City | JOHNSON CITY
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State | TN
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Zip | 37602-3889
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Country | US
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Telephone | 423-794-5520
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Fax | 423-282-6940
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PENDING
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License Number State | TN
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