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NPI 1740440502

NPI 1740440502 : NICOLE LEE DAVEY-RANASINGHE M.D. : AMARILLO, TX

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General NPI Number Information
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    NPI Number           |    1740440502
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    Entity Type          |    Individual 
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    Provider Name        |    NICOLE LEE DAVEY-RANASINGHE M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/13/2008
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    Last Update Date     |    09/25/2025
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Provider Practice Location Address
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    Address Line         |    9092 WESTGATE PKWY W 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79124-2441
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    Country              |    US
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    Telephone            |    806-350-7355
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    Fax                  |    806-356-0045
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Provider Business Mailing Address
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    Address Line         |    9092 WESTGATE PKWY W 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79124-2441
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    Country              |    US
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    Telephone            |    806-350-7355
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    Fax                  |    806-356-0045
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    14088
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    License Number State |    NV
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Taxonomy #2
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    R5108
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    DR.0053755
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    License Number State |    CO
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Taxonomy #4
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    MD158282
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    License Number State |    OR
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