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Individual
DANIEL E. DAVENPORT
Active
Individual
DANIEL E. DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704244629
MI
363LN0000X
Neonatal Nurse Practitioner
28192225
IN
363LN0000X
Neonatal Nurse Practitioner
71003429A
IN
Other
Enumeration date
10/29/2010
Last updated
10/04/2012
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