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General NPI Number Information
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NPI Number | 1548632623
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Entity Type | Individual
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Provider Name | EMILY ELIZABETH TYLER NP
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Gender | Female
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 3811 E BELL RD
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City | PHOENIX
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State | AZ
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Zip | 85032-2138
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Country | US
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Telephone | 602-675-2585
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Fax | 602-825-1145
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Provider Business Mailing Address
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Address Line | 1747 E GARNET AVE
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City | MESA
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State | AZ
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Zip | 85204-6013
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Country | US
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Telephone | 480-692-3405
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Fax | 878-201-5728
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | AP8250
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | TAP8250
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 13880105-4405
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License Number State | UT
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