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General NPI Number Information
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NPI Number | 1780791335
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Entity Type | Individual
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Provider Name | PAULA LYNN DAVIS MSN, APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/06/2024
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Provider Practice Location Address
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Address Line | 103 SE 3RD ST
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City | TRENTON
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State | FL
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Zip | 32693-3247
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Country | US
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Telephone | 352-577-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 1924 SW 146TH ST
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City | NEWBERRY
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State | FL
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Zip | 32669-4604
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Country | US
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Telephone | 352-339-0470
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN1647892
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License Number State | FL
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