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General NPI Number Information
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NPI Number | 1902784622
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Entity Type | Individual
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Provider Name | JOSEPH DAVIS DOUBEK
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Gender |
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1445 NW MALL ST STE 2
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City | ISSAQUAH
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State | WA
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Zip | 98027-7900
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Country | US
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Telephone | 425-651-8117
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Fax |
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Provider Business Mailing Address
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Address Line | 16919 408TH AVE SE
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City | GOLD BAR
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State | WA
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Zip | 98251-9202
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Country | US
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Telephone | 425-623-6383
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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