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General NPI Number Information
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NPI Number | 1700684214
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Entity Type | Individual
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Provider Name | GENEVIEVE SHARON DAVIS AGNP - BC
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Gender | Female
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 2750 PARK VIEW CT STE 250
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City | OXNARD
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State | CA
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Zip | 93036-5458
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Country | US
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Telephone | 805-278-1688
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Fax | 805-278-1699
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Provider Business Mailing Address
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Address Line | 15519 DRACENA AVE
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City | MOORPARK
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State | CA
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Zip | 93021-1612
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Country | US
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Telephone | 805-231-0948
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 802572
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 95034247
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License Number State | CA
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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 | 95034247
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License Number State | CA
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