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General NPI Number Information
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NPI Number | 1972893147
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Entity Type | Individual
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Provider Name | NORA B DAVIS ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 04/08/2011
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Provider Practice Location Address
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Address Line | 3135 W ATLANTIC BLVD STE 14
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City | POMPANO BEACH
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State | FL
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Zip | 33069-2565
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Country | US
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Telephone | 954-970-3484
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Fax | 954-970-3487
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Provider Business Mailing Address
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Address Line | 9586 ARKABUTLA RD
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City | COLDWATER
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State | MS
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Zip | 38618-6871
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Country | US
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Telephone | 954-260-0465
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Fax | 954-970-3487
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2859882
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License Number State | FL
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