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General NPI Number Information
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NPI Number | 1336828516
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Entity Type | Individual
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Provider Name | TYLER LEE JONES ATC
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Gender | Male
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 125 W COOPER ST
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City | STERLING
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State | KS
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Zip | 67579-1533
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Country | US
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Telephone | 620-278-2173
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Fax |
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Provider Business Mailing Address
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Address Line | 51 HALSEY DR
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City | HUTCHINSON
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State | KS
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Zip | 67502-3530
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Country | US
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Telephone | 816-284-0856
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | KS
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