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General NPI Number Information
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NPI Number | 1346158565
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Entity Type | Individual
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Provider Name | TYLER CHASE SCHALLHORN
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Gender | Male
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Dates
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Enumeration Date | 08/29/2026
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 2562 NAVARRE AVE
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City | OREGON
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State | OH
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Zip | 43616-3171
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Country | US
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Telephone | 419-693-9034
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Fax | 419-693-9147
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Provider Business Mailing Address
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Address Line | 12124 RYZNAR DR
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City | VAN BUREN TOWNSHIP
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State | MI
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Zip | 48111-2247
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302419246
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License Number State | MI
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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 | 03447220
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License Number State | OH
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