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General NPI Number Information
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NPI Number | 1700811536
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Entity Type | Individual
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Provider Name | WENDY WALKER DAVIS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 2055 ANDERSON RD
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City | DAVIS
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State | CA
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Zip | 95616-0672
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Country | US
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Telephone | 530-309-5149
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Fax | 530-725-4331
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Provider Business Mailing Address
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Address Line | PO BOX 881
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City | WINTERS
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State | CA
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Zip | 95694-0881
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Country | US
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Telephone | 530-309-5149
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Fax | 530-725-4331
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY18044
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License Number State | CA
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