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General NPI Number Information
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NPI Number | 1477325884
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Entity Type | Individual
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Provider Name | MICHAEL LEWIS TYLER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 729 N REDWOOD RD
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City | SALT LAKE CITY
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State | UT
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Zip | 84116-1909
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Country | US
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Telephone | 801-364-7390
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Fax |
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Provider Business Mailing Address
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Address Line | 3575 S ACADIA SUMMIT LN
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City | MAGNA
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State | UT
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Zip | 84044-3462
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Country | US
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Telephone | 801-502-6184
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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 | 11370066-1701
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License Number State | UT
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