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General NPI Number Information
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NPI Number | 1740199157
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Entity Type | Individual
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Provider Name | WILLIAM TYLER
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Gender | Male
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 20273 REED LN
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City | BEND
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State | OR
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Zip | 97702-2123
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Country | US
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Telephone | 541-327-4825
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Fax |
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Provider Business Mailing Address
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Address Line | 211 WISCONSIN ST APT 202
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City | EAU CLAIRE
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State | WI
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Zip | 54703-3933
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Country | US
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Telephone | 715-379-0173
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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