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General NPI Number Information
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NPI Number | 1811630817
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Entity Type | Individual
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Provider Name | REBECCA DAVIS RBT
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Gender | Female
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 4180 S A ST
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City | RICHMOND
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State | IN
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Zip | 47374-6055
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Country | US
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Telephone | 317-222-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 211 E ORCHARD ST
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City | WEST MANCHESTER
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State | OH
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Zip | 45382-5053
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Country | US
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Telephone | 270-589-9043
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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 |
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License Number State |
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