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General NPI Number Information
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NPI Number | 1497552012
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Entity Type | Individual
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Provider Name | MARTHA E DAVILA LMFT-ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 03/01/2025
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Last Update Date | 03/01/2025
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Provider Practice Location Address
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Address Line | 14893 BANDERA RD STE 5A
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City | HELOTES
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State | TX
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Zip | 78023-3879
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Country | US
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Telephone | 210-376-8292
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Fax |
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Provider Business Mailing Address
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Address Line | 8011 N NEW BRAUNFELS AVE APT 203
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City | SAN ANTONIO
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State | TX
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Zip | 78209-2768
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Country | US
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Telephone | 210-891-7376
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 205909
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License Number State | TX
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