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General NPI Number Information
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NPI Number | 1477471746
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Entity Type | Individual
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Provider Name | TYLER CADE YORK FNP
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Gender | Male
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 117 N HICKORY AVE STE 200
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City | COOKEVILLE
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State | TN
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Zip | 38501-3942
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Country | US
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Telephone | 931-646-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 348 BETHLEHEM RD
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City | RICKMAN
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State | TN
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Zip | 38580-1908
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Country | US
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Telephone | 931-644-6554
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 42371
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License Number State | TN
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