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General NPI Number Information
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NPI Number | 1104112044
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Entity Type | Individual
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Provider Name | TYLER D MAY DDS
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Gender | Male
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 12/18/2018
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Provider Practice Location Address
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Address Line | 340 N MAIN ST
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City | HEBER CITY
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State | UT
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Zip | 84032-1438
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Country | US
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Telephone | 435-654-2020
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Fax | 435-654-2021
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Provider Business Mailing Address
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Address Line | 2801 W 8TH ST
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City | PLAINVIEW
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State | TX
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Zip | 79072-6737
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Country | US
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Telephone | 806-293-8561
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Fax | 806-293-8413
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8577015
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License Number State | UT
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