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General NPI Number Information
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NPI Number | 1538095658
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Entity Type | Individual
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Provider Name | TYLA LANAI HINDS CASAC-T
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Gender | Female
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 750 ASTOR AVE
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City | BRONX
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State | NY
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Zip | 10467-9304
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Country | US
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Telephone | 718-518-9007
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Fax |
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Provider Business Mailing Address
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Address Line | 789 YONKERS AVE APT 1
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City | YONKERS
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State | NY
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Zip | 10704-2066
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Country | US
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Telephone | 914-309-3306
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 41501
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License Number State | NY
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