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General NPI Number Information
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NPI Number | 1871475988
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Entity Type | Individual
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Provider Name | TARYN MARIE PHILLIPS-SMITH
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 8221 BRECKSVILLE RD STE 104
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City | BRECKSVILLE
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State | OH
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Zip | 44141-1390
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Country | US
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Telephone | 216-839-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 E SUMMIT ST APT 110
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City | KENT
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State | OH
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Zip | 44240-4034
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Country | US
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Telephone | 513-516-1033
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.2506851-TRNE
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License Number State | OH
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