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General NPI Number Information
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NPI Number | 1700734191
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Entity Type | Individual
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Provider Name | NICOLE ELIZABETH DAVIS PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 1665 ANTILLEY RD STE 260
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City | ABILENE
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State | TX
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Zip | 79606-5249
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Country | US
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Telephone | 325-437-8674
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Fax | 325-437-8647
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Provider Business Mailing Address
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Address Line | 226 DOVE CREEK PATH
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City | ABILENE
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State | TX
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Zip | 79602-5575
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Country | US
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Telephone | 413-221-1634
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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