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General NPI Number Information
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NPI Number | 1568029387
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Entity Type | Individual
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Provider Name | ADAM TYLER BRYAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 8350 COLORADO BLVD UNIT 160
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City | FIRESTONE
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State | CO
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Zip | 80504-6803
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Country | US
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Telephone | 303-689-5160
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Fax | 303-689-5160
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Provider Business Mailing Address
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Address Line | 2001 70TH AVE STE 200
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City | GREELEY
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State | CO
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Zip | 80634-4613
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Country | US
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Telephone | 970-810-3550
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0068743
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License Number State | CO
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