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General NPI Number Information
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NPI Number | 1639398357
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Entity Type | Individual
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Provider Name | JEANNE ANN DAVIS F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 620 IRIS DR
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City | STERLING
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State | CO
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Zip | 80751-4716
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Country | US
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Telephone | 970-522-7266
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Fax | 970-522-4258
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE SUITE 150
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City | LOVELAND
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State | CO
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Zip | 80538-8702
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Country | US
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Telephone | 970-624-4443
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Fax | 970-490-4175
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 46792
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP-1966
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License Number State | CO
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