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General NPI Number Information
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NPI Number | 1629891064
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Entity Type | Individual
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Provider Name | TORI LEE DAVIS CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 810 SAINT VINCENTS DR
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1601
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Country | US
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Telephone | 205-939-7143
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55310
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5310
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Country | US
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Telephone | 334-791-3021
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 1-176553
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1-176553
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License Number State | AL
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