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General NPI Number Information
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NPI Number | 1407780679
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Entity Type | Individual
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Provider Name | MARLA HAGAN DAVILA
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 2400 TRAWOOD DR
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City | EL PASO
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State | TX
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Zip | 79936-4168
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Country | US
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Telephone | 915-564-6159
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Fax |
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Provider Business Mailing Address
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Address Line | 312 PETE LA RUE CIR
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City | HORIZON CITY
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State | TX
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Zip | 79928-7256
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Country | US
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Telephone |
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 812878
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License Number State | TX
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