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General NPI Number Information
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NPI Number | 1710686514
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Entity Type | Individual
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Provider Name | TYLER CORDER
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Gender | Male
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 6565 FANNIN ST STE B452
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City | HOUSTON
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State | TX
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Zip | 77030-2703
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Country | US
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Telephone | 713-441-2194
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Fax |
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Provider Business Mailing Address
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Address Line | 18815 PEAR SLICE DR
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City | MANVEL
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State | TX
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Zip | 77578-1260
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Country | US
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Telephone | 850-356-7911
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1127025
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN9477096
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License Number State | FL
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