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General NPI Number Information
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NPI Number | 1427935378
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Entity Type | Individual
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Provider Name | YAMILET SANTIAGO DAVILA PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 8705 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19118-2720
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Country | US
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Telephone | 215-247-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 25 W HORTTER ST APT 216
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2732
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Country | US
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Telephone | 267-814-8660
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS020409
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License Number State | PA
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