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General NPI Number Information
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NPI Number | 1699187591
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Entity Type | Individual
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Provider Name | MARY L DAVIS APRN
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Gender | Female
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 831 SIMPSON RD
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City | KISSIMMEE
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State | FL
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Zip | 34744-5328
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Country | US
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Telephone | 407-483-5757
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Fax | 855-342-2122
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Provider Business Mailing Address
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Address Line | 831 SIMPSON RD
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City | KISSIMMEE
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State | FL
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Zip | 34744-5328
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Country | US
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Telephone | 407-483-5757
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Fax | 855-342-2122
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | PMD16083
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2835352
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN2835352
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP2835352
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | APRN2835352
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | ARNP2835352
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN2835352
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License Number State | FL
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