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General NPI Number Information
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NPI Number | 1669218541
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Entity Type | Individual
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Provider Name | TYLER ALLEN WOLFE PT, DPT, NCS
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Gender | Male
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Dates
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Enumeration Date | 07/01/2024
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 60 MIDDLE RD
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City | DOVER
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State | NH
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Zip | 03820-4162
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Country | US
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Telephone | 603-743-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 6215 FERRIS SQ STE 120
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City | SAN DIEGO
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State | CA
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Zip | 92121-3251
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Country | US
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Telephone | 800-683-1209
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4347
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 223416
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP041032T
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License Number State | NH
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