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General NPI Number Information
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NPI Number | 1285589325
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Entity Type | Individual
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Provider Name | RYLEY FAYE WIGGINS
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Gender | Female
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 4201 BRIDGEVIEW DR
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City | FORT WORTH
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State | TX
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Zip | 76109-9571
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Country | US
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Telephone | 469-852-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 BRIDGEVIEW DR
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City | FORT WORTH
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State | TX
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Zip | 76109-9571
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Country | US
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Telephone | 469-852-7500
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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 | 1-26-88021
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License Number State | TX
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