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General NPI Number Information
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NPI Number | 1285478917
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Entity Type | Individual
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Provider Name | BROOKE JOHNSON TYLER MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/19/2024
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 5826 SAMET DR
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City | HIGH POINT
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State | NC
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Zip | 27265-3660
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Country | US
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Telephone | 336-878-6540
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Fax |
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Provider Business Mailing Address
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Address Line | 329 WYNNEWOOD DR
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City | ARCHDALE
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State | NC
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Zip | 27263-2777
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Country | US
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Telephone | 336-404-6573
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5020258
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License Number State | NC
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