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General NPI Number Information
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NPI Number | 1851035018
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Entity Type | Individual
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Provider Name | CHELSEA L DAVIS
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Gender | Female
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 1243 HIGHWAY 62 412
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City | HIGHLAND
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State | AR
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Zip | 72542-9469
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Country | US
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Telephone | 870-856-3080
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Fax | 870-856-4165
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Provider Business Mailing Address
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Address Line | PO BOX 42
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City | PLEASANT GROVE
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State | AR
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Zip | 72567-0042
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Country | US
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Telephone | 870-834-3500
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD14617
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License Number State | AR
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