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General NPI Number Information
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NPI Number | 1306687405
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Entity Type | Individual
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Provider Name | ANNA TYLER
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Gender | Female
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 300 POLARIS PKWY
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City | WESTERVILLE
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State | OH
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Zip | 43082-7989
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Country | US
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Telephone | 614-533-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1374 LINCOLN RD
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City | COLUMBUS
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State | OH
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Zip | 43212-3208
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Country | US
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Telephone |
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PT021049
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License Number State | OH
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