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General NPI Number Information
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NPI Number | 1235013228
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Entity Type | Organization
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Legal Business Name | TKYRA HALL
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Dates
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Enumeration Date | 08/02/2025
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 251 MORRIS AVE
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City | HAMILTON
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State | OH
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Zip | 45011-5721
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Country | US
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Telephone | 513-953-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 251 MORRIS AVE
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City | HAMILTON
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State | OH
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Zip | 45011-5721
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Country | US
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Telephone | 513-444-6733
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Fax |
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Authorized Official
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Title or Position | DSP DIRECT SUPPORT SPEFCALIST.
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Name | TKYRA HALL
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Credential | STNA
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Telephone | 513-953-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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