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General NPI Number Information
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NPI Number | 1831913326
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Entity Type | Individual
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Provider Name | SYDNEY CARMEN JEAN DAVIS
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 8354 E NORTHFIELD BLVD UNIT 3700
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City | DENVER
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State | CO
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Zip | 80238-3135
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Country | US
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Telephone | 480-406-9608
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Fax |
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Provider Business Mailing Address
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Address Line | 13700 N FOUNTAIN HILLS BLVD APT 351
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-3752
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Country | US
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Telephone | 480-406-9608
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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-22-224705
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License Number State | AZ
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