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General NPI Number Information
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NPI Number | 1942833751
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Entity Type | Individual
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Provider Name | DENISE DAVIS CERTIFIED NURSE ASSI
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Gender | Female
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Dates
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Enumeration Date | 02/20/2020
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 11667 US82 #23
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City | WHITESBORO
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State | TX
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Zip | 76273
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Country | US
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Telephone | 469-395-8620
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Fax |
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Provider Business Mailing Address
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Address Line | 11667 E US HIGHWAY 82 # 23
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City | WHITESBORO
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State | TX
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Zip | 76273-5236
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Country | US
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Telephone | 469-560-1681
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 153796
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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