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General NPI Number Information
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NPI Number | 1730099961
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Entity Type | Organization
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Legal Business Name | TYLER BAUGH PREMIER MEDICAL, PLLC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 5725 S VALLEY VIEW BLVD STE 5
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City | LAS VEGAS
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State | NV
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Zip | 89118-3122
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Country | US
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Telephone | 480-388-7585
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Fax | 435-359-5118
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Provider Business Mailing Address
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Address Line | 5725 S VALLEY VIEW BLVD STE 5
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City | LAS VEGAS
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State | NV
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Zip | 89118-3122
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Country | US
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Telephone | 480-388-7585
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Fax | 435-359-5118
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JUSTIN TYLER
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Credential |
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Telephone | 480-388-7585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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