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General NPI Number Information
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NPI Number | 1962291989
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Entity Type | Individual
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Provider Name | TIMOTHY ENLERS
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Gender | Male
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 3016 W CHARLESTON BLVD STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89102-1964
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Country | US
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Telephone | 702-371-7970
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Fax |
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Provider Business Mailing Address
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Address Line | 2715 E RUSSELL RD
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City | LAS VEGAS
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State | NV
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Zip | 89120-2426
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Country | US
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Telephone | 725-238-4115
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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-25-456707
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License Number State | NV
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