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General NPI Number Information
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NPI Number | 1851945356
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Entity Type | Individual
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Provider Name | SUMMER BECKETT DAVIES RN, MSN, APRN
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Gender | Female
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 5225 NESCONSET HWY STE 23
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-2058
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Country | US
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Telephone | 631-473-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 496 SMITHTOWN BYP
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City | SMITHTOWN
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State | NY
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Zip | 11787-5005
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Country | US
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Telephone | 631-979-8880
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN245829
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | F432320-01
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License Number State | NY
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