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General NPI Number Information
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NPI Number | 1821499336
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Entity Type | Individual
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Provider Name | CHRISTY LYNN DAVIS APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 1120 S UTICA AVE STE 2123
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City | TULSA
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State | OK
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Zip | 74104-4012
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Country | US
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Telephone | 918-579-5402
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Fax | 918-579-5404
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Provider Business Mailing Address
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Address Line | 1120 S UTICA AVE STE 2123
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City | TULSA
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State | OK
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Zip | 74104-4012
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Country | US
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Telephone | 918-579-5402
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Fax | 918-579-5404
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 2018009258
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | R66633
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | R0112502
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License Number State | OK
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