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General NPI Number Information
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NPI Number | 1689541872
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Entity Type | Individual
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Provider Name | DAVIDA CLIFTON
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Gender | Female
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 2820 N RICHARDS ST STE 100
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City | MILWAUKEE
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State | WI
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Zip | 53212-2440
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Country | US
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Telephone | 414-309-3213
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Fax | 414-309-3213
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Provider Business Mailing Address
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Address Line | 2820 N RICHARDS ST STE 100
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City | MILWAUKEE
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State | WI
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Zip | 53212-2440
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Country | US
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Telephone | 414-309-3213
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Fax | 414-309-3213
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State | WI
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