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General NPI Number Information
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NPI Number | 1487515334
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Entity Type | Individual
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Provider Name | TYLER MILLS
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Gender | Male
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 911 N SHELBY ST
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City | SALEM
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State | IN
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Zip | 47167-2304
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Country | US
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Telephone | 812-883-5881
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Fax |
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Provider Business Mailing Address
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Address Line | 8908 LA COSTA RD
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City | LOUISVILLE
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State | KY
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Zip | 40299-1432
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 009475
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License Number State | KY
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