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General NPI Number Information
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NPI Number | 1619730322
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Entity Type | Individual
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Provider Name | JAMAIYA DAVIS RN
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Gender | Female
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 7063 VETERANS PKWY
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City | PELL CITY
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State | AL
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Zip | 35125-5114
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Country | US
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Telephone | 205-338-3301
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Fax |
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Provider Business Mailing Address
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Address Line | 6915 LEXINGTON OAKS DR
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City | TRUSSVILLE
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State | AL
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Zip | 35173-5294
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1164287
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License Number State | AL
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