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General NPI Number Information
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NPI Number | 1215482336
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Entity Type | Individual
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Provider Name | TANYA HYLTON
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Gender | Female
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 8001 SW 36TH ST SUITE 9
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City | DAVIE
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State | FL
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Zip | 33328-1915
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Country | US
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Telephone | 954-577-7790
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Fax | 954-577-7780
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Provider Business Mailing Address
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Address Line | 3408 W 84TH ST STE 305
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City | HIALEAH
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State | FL
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Zip | 33018-4943
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Country | US
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Telephone | 786-663-3983
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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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