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NPI 1598077489

NPI 1598077489 : TYLER WILLIAM CHRISTMAN DO : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1598077489
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    Entity Type          |    Individual 
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    Provider Name        |    TYLER WILLIAM CHRISTMAN DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/08/2010
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    Last Update Date     |    03/06/2025
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Provider Practice Location Address
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    Address Line         |    705 RILEY HOSPITAL DR 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46202-5109
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    Country              |    US
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    Telephone            |    317-274-7372
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    250 N SHADELAND AVE 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46219-4959
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    Country              |    US
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    Telephone            |    
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    OS016097
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    02004863A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    2905
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    License Number State |    WV
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Taxonomy #4
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    5101021842
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    License Number State |    MI
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