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General NPI Number Information
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NPI Number | 1760098321
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Entity Type | Individual
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Provider Name | SUNDRA DAVIS NP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 8588 KATY FWY STE 226A
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City | HOUSTON
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State | TX
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Zip | 77024-1881
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Country | US
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Telephone | 713-532-6884
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 639295 DEPT 93386
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City | CINCINNATI
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State | OH
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Zip | 45263-9295
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Country | US
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Telephone | 248-266-4200
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Fax | 855-618-6655
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1031045
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License Number State | TX
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