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General NPI Number Information
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NPI Number | 1124973581
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Entity Type | Individual
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Provider Name | GERARD TYLOR TEAMER
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Gender | Male
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 6150 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-3306
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Country | US
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Telephone | 863-687-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 562 ROBIN HILL CIR
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City | BRANDON
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State | FL
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Zip | 33510-3319
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Country | US
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Telephone | 813-894-8655
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN9621961
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License Number State | FL
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