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General NPI Number Information
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NPI Number | 1295534352
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Entity Type | Individual
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Provider Name | TYLER COLE BISHOP APRN
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Gender | Male
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 525 METRO PL N STE 300
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City | DUBLIN
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State | OH
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Zip | 43017-5320
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Country | US
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Telephone | 855-289-1722
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Fax |
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Provider Business Mailing Address
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Address Line | 6260 OLD STATE ROUTE 224
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City | OTTAWA
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State | OH
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Zip | 45875-9766
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Country | US
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Telephone | 567-376-9977
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0038841
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License Number State | OH
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