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General NPI Number Information
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NPI Number | 1114870060
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Entity Type | Individual
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Provider Name | TYRELL KING PSYD
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Gender | Male
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 11701 BEE CAVES RD STE 207
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City | AUSTIN
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State | TX
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Zip | 78738-6468
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Country | US
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Telephone | 512-261-8273
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Fax |
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Provider Business Mailing Address
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Address Line | 11906 UPLANDS RIDGE DR
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City | BEE CAVE
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State | TX
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Zip | 78738-5007
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Country | US
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Telephone | 512-466-8237
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 40076
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License Number State | TX
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