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General NPI Number Information
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NPI Number | 1841195005
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Entity Type | Individual
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Provider Name | TYLER JOHN SMITH RBT
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Gender | Male
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 3449 NEWMARK DR
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City | MIAMISBURG
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State | OH
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Zip | 45342-5426
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Country | US
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Telephone | 937-637-9374
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Fax |
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Provider Business Mailing Address
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Address Line | 2158 LEHIGH PL
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City | MORAINE
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State | OH
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Zip | 45439-3014
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Country | US
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Telephone | 937-718-2733
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | OH
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