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General NPI Number Information
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NPI Number | 1649457003
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Entity Type | Individual
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Provider Name | ASHA L DAVIS BACHELORS DEGREE
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Gender | Female
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 1114 YUBA ST #207
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City | MARYSVILLE
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State | CA
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Zip | 95901-4838
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Country | US
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Telephone | 530-749-6306
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Fax | 530-749-4928
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Provider Business Mailing Address
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Address Line | PO BOX 225
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City | MARYSVILLE
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State | CA
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Zip | 95901-0005
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Country | US
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Telephone | 530-749-6306
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Fax | 530-740-4928
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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