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General NPI Number Information
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NPI Number | 1609735331
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Entity Type | Individual
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Provider Name | DR. CARINNE ELIZABETH TYRRELL
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 725 MARLANDWOOD RD
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City | TEMPLE
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State | TX
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Zip | 76502-3573
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Country | US
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Telephone | 940-239-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 101 PECAN VISTA LN
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City | GEORGETOWN
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State | TX
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Zip | 78626-4541
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Country | US
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Telephone | 225-290-7335
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State | TX
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