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General NPI Number Information
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NPI Number | 1922044155
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Entity Type | Individual
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Provider Name | AMY L. DAVIS APRN
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 04/13/2019
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Provider Practice Location Address
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Address Line | 55 LOCK STREET
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City | NEW HAVEN
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State | CT
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Zip | 06511
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Country | US
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Telephone | 203-432-0076
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Fax | 203-432-7289
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Provider Business Mailing Address
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Address Line | 849 BOSTON POST RD STE 300
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City | MILFORD
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State | CT
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Zip | 06460-3537
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Country | US
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Telephone | 203-432-0076
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Fax | 203-432-7289
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | E58277
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2577
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License Number State | CT
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