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General NPI Number Information
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NPI Number | 1851315154
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Entity Type | Individual
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Provider Name | BARBARA RUTH DAVIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 911 E 86TH ST STE 108
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-4002
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Country | US
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Telephone | 317-756-9896
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Fax | 317-863-1052
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Provider Business Mailing Address
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Address Line | 9568 MEETING ST
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City | FISHERS
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State | IN
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Zip | 46038-8300
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Country | US
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Telephone | 317-695-6878
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Fax | 317-863-1052
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01039457A
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License Number State | IN
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