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General NPI Number Information
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NPI Number | 1730054511
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Entity Type | Individual
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Provider Name | DEBRASHAY K DAVIS
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Gender | Female
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 161 BUTCHER RD STE B
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City | VACAVILLE
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State | CA
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Zip | 95687-5685
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Country | US
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Telephone | 707-305-1118
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Fax | 707-302-0440
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Provider Business Mailing Address
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Address Line | 996 ROYAL MARCO WAY FL 34145
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City | MARCO ISLAND
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State | FL
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Zip | 34145-1829
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Country | US
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Telephone | 469-649-1754
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Fax | 818-758-8015
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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 | CA
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