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General NPI Number Information
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NPI Number | 1740094440
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Entity Type | Individual
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Provider Name | JOSEPH DAVILA
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Gender | Male
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 05/25/2025
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Provider Practice Location Address
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Address Line | 2115 STEPHENS PL STE 810
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-2163
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Country | US
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Telephone | 210-346-8627
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Fax |
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Provider Business Mailing Address
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Address Line | 6222 W IH 10 STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78201-2013
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Country | US
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Telephone | 210-447-0039
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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-24-402513
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License Number State | TX
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