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NPI 1386504702

NPI 1386504702 : TYLER JAMES JONES-VEST : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1386504702
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    Entity Type          |    Individual 
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    Provider Name        |    TYLER JAMES JONES-VEST
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/17/2025
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    Last Update Date     |    11/17/2025
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Provider Practice Location Address
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    Address Line         |    5915 S EMERSON AVE STE 100 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46237-1972
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    Country              |    US
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    Telephone            |    317-567-9307
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    Fax                  |    855-915-0244
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Provider Business Mailing Address
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    Address Line         |    6007 JANEL CIR 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46237-9387
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    Country              |    US
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    Telephone            |    317-567-9307
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    Fax                  |    855-915-0244
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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 |    IN
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