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General NPI Number Information
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NPI Number | 1558182782
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Entity Type | Individual
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Provider Name | TYLER CRISTOPHER LEHMAN
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Gender | Male
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 352-273-8610
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Fax |
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Provider Business Mailing Address
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Address Line | 5109 SE 47TH COURT RD
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City | OCALA
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State | FL
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Zip | 34480-4969
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Country | US
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Telephone | 352-484-7853
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | AA1015
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License Number State | FL
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