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General NPI Number Information
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NPI Number | 1659622959
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Entity Type | Individual
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Provider Name | BRIANA DAVIS ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 8401 HARCOURT RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2036
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Country | US
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Telephone | 317-338-4850
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Fax |
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Provider Business Mailing Address
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Address Line | 10330 N MERIDIAN ST # 300
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1024
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704273887
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71005192A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71005192A
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License Number State | IN
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