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General NPI Number Information
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NPI Number | 1588830608
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Entity Type | Individual
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Provider Name | TYLER J. WEST M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 3601 SW 160TH AVE SUITE #250
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City | MIRAMAR
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State | FL
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Zip | 33027-6308
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Country | US
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Telephone | 305-866-9951
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Fax | 877-284-8933
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Provider Business Mailing Address
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Address Line | 84 DOANE RD
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City | WARE
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State | MA
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Zip | 01082-9387
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Country | US
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Telephone | 413-588-7440
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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 | 242844
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 228529
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License Number State | MA
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