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General NPI Number Information
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NPI Number | 1114559341
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Entity Type | Individual
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Provider Name | TYLER UHRICH DPT
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Gender | Male
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 2767 E IMPERIAL HWY
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City | BREA
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State | CA
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Zip | 92821-6713
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Country | US
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Telephone | 573-535-8022
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Fax |
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Provider Business Mailing Address
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Address Line | 90 VANTIS DR UNIT 5048
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City | ALISO VIEJO
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State | CA
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Zip | 92656-2540
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Country | US
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Telephone | 573-535-8022
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP008462T
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2020004450
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 299983
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2020004450
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License Number State | NC
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