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General NPI Number Information
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NPI Number | 1720407406
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Entity Type | Individual
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Provider Name | NAOMI HOUGH DAVIS LPC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 823 N 31ST ST
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City | RICHMOND
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State | VA
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Zip | 23223-6723
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Country | US
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Telephone | 804-226-0150
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Fax | 804-236-1068
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Provider Business Mailing Address
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Address Line | 6124 WATERMAN PL
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City | CHESTERFIELD
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State | VA
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Zip | 23832-9232
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Country | US
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Telephone | 804-350-8825
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Fax | 804-714-0404
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 0701005742
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License Number State |
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