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General NPI Number Information
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NPI Number | 1629648522
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Entity Type | Individual
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Provider Name | TYLER MCKAY RAWLINS OD
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Gender | Male
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 07/01/2021
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Provider Practice Location Address
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Address Line | 3333 N DIGITAL DR STE 300
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City | LEHI
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State | UT
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Zip | 84043-6694
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Country | US
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Telephone | 801-876-6000
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Fax | 385-235-6111
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Provider Business Mailing Address
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Address Line | 3333 N DIGITAL DR STE 300
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City | LEHI
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State | UT
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Zip | 84043-6694
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Country | US
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Telephone | 801-876-6000
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Fax | 385-235-6111
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 12362257-9934
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License Number State | UT
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