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General NPI Number Information
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NPI Number | 1093781676
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Entity Type | Individual
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Provider Name | ELIZABETH CHRISTINE TYLER-KABARA MD PHD
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Gender | Female
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1625 N CAMPBELL AVE
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City | TUCSON
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State | AZ
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Zip | 85719-4330
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Country | US
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Telephone | 520-694-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 102 LAUREL VALLEY RD
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-4406
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Country | US
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Telephone | 412-613-2072
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD068855L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | S5284
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 78728
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License Number State | AZ
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