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General NPI Number Information
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NPI Number | 1033695093
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Entity Type | Individual
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Provider Name | NICOLE EMI TAMURA MA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1250 HILLRISE CIR
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City | LAS CRUCES
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State | NM
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Zip | 88011-4741
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Country | US
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Telephone | 575-288-1881
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Fax | 575-288-1889
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Provider Business Mailing Address
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Address Line | 1250 HILLRISE CIR
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City | LAS CRUCES
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State | NM
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Zip | 88011-4741
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Country | US
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Telephone | 575-288-1881
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Fax | 575-288-1889
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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 | RBT-18-54026
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-53677
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License Number State | NV
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