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General NPI Number Information
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NPI Number | 1164383501
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Entity Type | Individual
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Provider Name | TYLER FARROW
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Gender | Male
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 760 E 160TH ST FL 2
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City | BRONX
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State | NY
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Zip | 10456-7898
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Country | US
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Telephone | 646-298-6157
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Fax |
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Provider Business Mailing Address
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Address Line | 760 E 160TH ST FL 2
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City | BRONX
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State | NY
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Zip | 10456-7898
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Country | US
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Telephone | 646-298-6157
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CRPA-P-8784
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License Number State | NY
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