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General NPI Number Information
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NPI Number | 1659290120
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Entity Type | Individual
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Provider Name | TYLER GOINS
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Gender | Female
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 4920 ROSWELL RD STE 1
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City | SANDY SPRINGS
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State | GA
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Zip | 30342-2684
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Country | US
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Telephone | 678-997-7249
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Fax |
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Provider Business Mailing Address
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Address Line | 6655 SANTA BARBARA RD UNIT 8574
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City | ELKRIDGE
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State | MD
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Zip | 21075-7523
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33474
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW010887
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License Number State | GA
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