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General NPI Number Information
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NPI Number | 1629935077
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Entity Type | Individual
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Provider Name | TYLER PALMQUIST
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Gender | Male
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 400 VESTAVIA PKWY STE 406
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City | VESTAVIA
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State | AL
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Zip | 35216-3763
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Country | US
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Telephone | 205-201-0560
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Fax |
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Provider Business Mailing Address
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Address Line | 1532 SUTHERLAND PL
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City | HOMEWOOD
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State | AL
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Zip | 35209-2331
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ALC05661
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License Number State | AL
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