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General NPI Number Information
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NPI Number | 1679363832
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Entity Type | Individual
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Provider Name | STEPHANNIE SAMANTHA DAVIS APRN
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Gender | Female
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Dates
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Enumeration Date | 05/10/2025
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 2257 OSHKOSH CT
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City | ORLANDO
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State | FL
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Zip | 32818-5208
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Country | US
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Telephone | 407-999-6956
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Fax | 407-999-6956
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Provider Business Mailing Address
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Address Line | 2257 OSHKOSH CT
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City | ORLANDO
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State | FL
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Zip | 32818-5208
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Country | US
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Telephone | 407-999-6956
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN11039200
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License Number State | FL
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