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General NPI Number Information
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NPI Number | 1487986352
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Entity Type | Organization
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Legal Business Name | TYLER HOLDINGS LLC
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 4201 LEO LN
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City | RIVIERA BEACH
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State | FL
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Zip | 33410-6405
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Country | US
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Telephone | 561-841-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 LEO LN
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City | RIVIERA BEACH
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State | FL
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Zip | 33410-6405
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Country | US
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Telephone | 561-841-0055
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT F HERRING
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Credential |
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Telephone | 919-738-7268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL10181
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License Number State | FL
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