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General NPI Number Information
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NPI Number | 1740882828
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Entity Type | Individual
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Provider Name | SABRINA L DAVIS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 1033 WHITTIER ST
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City | SAINT LOUIS
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State | MO
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Zip | 63113-3135
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Country | US
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Telephone | 314-323-7116
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11545
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City | CLAYTON
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State | MO
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Zip | 63105-0345
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Country | US
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Telephone | 314-323-7116
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2020037225
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License Number State | MO
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