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General NPI Number Information
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NPI Number | 1952130296
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Entity Type | Individual
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Provider Name | TAYLYNN TANIGUCHI RBT
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Gender | Female
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Dates
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Enumeration Date | 07/26/2024
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 2450 CHANDLER AVE STE 4
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City | LAS VEGAS
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State | NV
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Zip | 89120-4059
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Country | US
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Telephone | 725-710-4529
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Fax | 702-543-7553
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Provider Business Mailing Address
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Address Line | 3600 UNIVERSITY CENTER DR # P456
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City | LAS VEGAS
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State | NV
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Zip | 89169-3928
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Country | US
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Telephone | 808-353-1015
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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 | RBT3752
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License Number State | NV
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