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General NPI Number Information
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NPI Number | 1811642721
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Entity Type | Individual
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Provider Name | DONIA LYNN DAVIS CPC INTERN
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Gender | Female
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 8215 S EASTERN AVE STE 109
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City | LAS VEGAS
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State | NV
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Zip | 89123-2515
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Country | US
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Telephone | 702-252-8342
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Fax | 702-252-8349
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Provider Business Mailing Address
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Address Line | 732 S 6TH ST STE V
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City | LAS VEGAS
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State | NV
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Zip | 89101-6948
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Country | US
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Telephone | 310-848-8563
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CI5095
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License Number State | NV
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