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General NPI Number Information
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NPI Number | 1003784513
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Entity Type | Individual
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Provider Name | ENOS ISRAEL
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Gender | Male
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 175 WESTFIELD BLVD STE 120
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City | TEMPLE
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State | TX
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Zip | 76502-4524
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Country | US
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Telephone | 254-677-7235
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Fax |
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Provider Business Mailing Address
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Address Line | 3707 CHAROLAIS DR APT D
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City | KILLEEN
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State | TX
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Zip | 76542-2568
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Country | US
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Telephone | 254-350-4080
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | TX
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