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General NPI Number Information
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NPI Number | 1396537312
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Entity Type | Individual
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Provider Name | TYLER KIRBY
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Gender | Male
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 203 YMCA WAY
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City | GLASGOW
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State | KY
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Zip | 42141-1195
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Country | US
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Telephone | 727-486-6992
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Fax |
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Provider Business Mailing Address
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Address Line | 280 HORACE JOHNSON RD
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City | ALVATON
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State | KY
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Zip | 42122-9705
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Country | US
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Telephone | 270-438-3010
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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 | 301810
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License Number State | KY
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