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General NPI Number Information
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NPI Number | 1811425937
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Entity Type | Individual
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Provider Name | DAWN R DAVIES PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2521 E 15TH ST
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City | CASPER
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State | WY
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Zip | 82609-4126
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Country | US
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Telephone | 307-237-7444
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 MANOR DR
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City | CASPER
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State | WY
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Zip | 82609-3559
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Country | US
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Telephone | 607-245-9308
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 147339
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 571270
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G147339
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 54461
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License Number State | WY
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