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General NPI Number Information
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NPI Number | 1063530269
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Entity Type | Individual
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Provider Name | TYLER R ALBRECHT DMD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1251 NORTHFIELD RD
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City | CEDAR CITY
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State | UT
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Zip | 84720-8916
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Country | US
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Telephone | 435-586-8188
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Fax | 435-867-1362
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Provider Business Mailing Address
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Address Line | 1251 NORTHFIELD RD
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City | CEDAR CITY
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State | UT
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Zip | 84720-8916
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Country | US
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Telephone | 435-586-8188
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 63359359921
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License Number State | UT
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