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General NPI Number Information
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NPI Number | 1598145146
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Entity Type | Individual
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Provider Name | DIANA DAVIDSON NP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 315 OLD LANDING RD
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City | MILLSBORO
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State | DE
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Zip | 19966-1210
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Country | US
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Telephone | 302-353-0762
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Fax |
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Provider Business Mailing Address
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Address Line | 205 RACE ST APT 11E
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City | PHILADELPHIA
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State | PA
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Zip | 19106-2038
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Country | US
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Telephone | 215-872-0127
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP9339588
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP017910
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0000187
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License Number State | DE
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