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General NPI Number Information
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NPI Number | 1952476947
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Entity Type | Individual
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Provider Name | TANIA A DAVIDSON PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1198 NAVIGATOR DR # 103
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City | VENTURA
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State | CA
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Zip | 93001-4334
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Country | US
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Telephone | 805-628-2613
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Fax | 805-339-0806
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Provider Business Mailing Address
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Address Line | 2142 THRUSH AVE
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City | OXNARD
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State | CA
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Zip | 93033-9342
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Country | US
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Telephone | 805-628-2613
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY16510
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License Number State | CA
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