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General NPI Number Information
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NPI Number | 1851243620
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Entity Type | Individual
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Provider Name | MIKAYLA SMITH
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Gender | Female
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 3710 KATALIN CT
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City | BAY CITY
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State | MI
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Zip | 48706-2160
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Country | US
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Telephone | 989-324-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 1406 HELEN ST
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City | BAY CITY
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State | MI
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Zip | 48708-5577
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Country | US
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Telephone | 989-750-5968
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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 | MI
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