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General NPI Number Information
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NPI Number | 1679117717
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Entity Type | Individual
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Provider Name | ALLISON RAE DAVIS PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/01/2019
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1800 RENAISSANCE BLVD STE 210
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City | EDMOND
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State | OK
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Zip | 73013-3023
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Country | US
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Telephone | 405-768-1600
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Fax | 405-768-1601
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Provider Business Mailing Address
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Address Line | PO BOX 2378
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City | EDMOND
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State | OK
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Zip | 73083-2378
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Country | US
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Telephone | 405-768-1600
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Fax | 405-768-1601
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 3107
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License Number State | OK
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