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General NPI Number Information
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NPI Number | 1053128876
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Entity Type | Organization
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Legal Business Name | TYLER LYMBURNER DC LLC
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 180 W CARMEL DR # F7
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City | CARMEL
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State | IN
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Zip | 46032-2526
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Country | US
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Telephone | 317-575-9550
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Fax |
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Provider Business Mailing Address
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Address Line | 180 W CARMEL DR # F7
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City | CARMEL
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State | IN
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Zip | 46032-2526
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Country | US
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Telephone | 317-575-9550
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TYLER J J LYMBURNER
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Credential | DC
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Telephone | 574-261-6509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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