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General NPI Number Information
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NPI Number | 1467610436
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Entity Type | Individual
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Provider Name | THOMAS P TYLER MS
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Gender | Male
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 215 E THARPE ST
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City | TALLAHASSEE
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State | FL
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Zip | 32303-5550
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Country | US
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Telephone | 850-508-1771
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Fax |
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Provider Business Mailing Address
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Address Line | 903 CHESTWOOD AVE
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City | TALLAHASSEE
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State | FL
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Zip | 32303-4634
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Country | US
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Telephone | 850-508-1771
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 5824
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License Number State | FL
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