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General NPI Number Information
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NPI Number | 1639533433
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Entity Type | Individual
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Provider Name | DAVINA WHITEHURST APRN
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Gender | Female
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 236 3RD ST SW
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City | CANTON
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State | OH
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Zip | 44702-1607
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Country | US
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Telephone | 330-754-4431
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Fax | 330-244-8839
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Provider Business Mailing Address
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Address Line | 236 3RD ST SW
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City | CANTON
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State | OH
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Zip | 44702-1607
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Country | US
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Telephone | 330-754-4431
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Fax | 330-244-8839
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP130182
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN.CNP.0038411
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License Number State | OH
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