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General NPI Number Information
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NPI Number | 1033914122
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Entity Type | Individual
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Provider Name | DAVID FIGUEROA
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Gender | Male
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1585 N MILWAUKEE AVE STE 101
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-1359
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Country | US
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Telephone | 847-918-7947
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Fax |
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Provider Business Mailing Address
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Address Line | 3538 GREENWOOD AVE
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City | GURNEE
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State | IL
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Zip | 60031-5519
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Country | US
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Telephone | 847-778-6914
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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 | IL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-4053308
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License Number State | IL
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