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General NPI Number Information
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NPI Number | 1659031037
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Entity Type | Individual
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Provider Name | CHRISTINA CELESTE DAVIS PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 7104 LAIRD ST
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32408-7628
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Country | US
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Telephone | 850-784-9991
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Fax | 850-763-8361
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Provider Business Mailing Address
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Address Line | 8219 FRONT BEACH RD # 1162
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City | PANAMA CITY
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State | FL
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Zip | 32407-4822
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Country | US
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Telephone | 850-326-4959
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Fax | 850-299-2182
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9115413
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License Number State | FL
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