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General NPI Number Information
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NPI Number | 1144072471
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Entity Type | Individual
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Provider Name | JOSEPH DENHAM
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Gender | Male
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 9 PROFESSIONAL PARK DR STE A
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City | WEBSTER
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State | TX
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Zip | 77598-4144
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Country | US
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Telephone | 832-240-4563
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Fax |
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Provider Business Mailing Address
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Address Line | 6730 GRAPEVINE BND
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City | MANVEL
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State | TX
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Zip | 77578-5272
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Country | US
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Telephone | 951-224-3519
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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 | RBT-21-183650
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License Number State | NJ
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