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General NPI Number Information
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NPI Number | 1184225500
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Entity Type | Individual
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Provider Name | CAROL ANN TYLER RPH
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Gender | Female
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 3604 N HIGHWAY 7
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71909-9607
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Country | US
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Telephone | 501-318-0902
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Fax | 501-318-5299
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Provider Business Mailing Address
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Address Line | 11 ALBACETE WAY
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71909-2776
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Country | US
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Telephone | 501-984-1823
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11235
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS60320
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD08658
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License Number State | AR
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