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General NPI Number Information
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NPI Number | 1467051318
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Entity Type | Individual
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Provider Name | TYLYN LOUDERMILK
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Gender | Female
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 202 S 4TH ST W
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City | BAKER
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State | MT
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Zip | 59313-9156
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Country | US
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Telephone | 406-778-3331
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Fax |
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Provider Business Mailing Address
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Address Line | 716 ADAIR AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2836
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Country | US
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Telephone | 740-891-9000
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Fax | 740-891-9001
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0027383
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-239010
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License Number State | MT
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