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NPI 1750185096

NPI 1750185096 : TYLER DOWNS DO : ANCHORAGE, AK

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General NPI Number Information
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    NPI Number           |    1750185096
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    Entity Type          |    Individual 
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    Provider Name        |    TYLER DOWNS DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/04/2025
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    Last Update Date     |    06/02/2025
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Provider Practice Location Address
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    Address Line         |    1201 E 36TH AVE 
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    City                 |    ANCHORAGE
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    State                |    AK
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    Zip                  |    99508-4372
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    Country              |    US
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    Telephone            |    907-561-4500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1117 E 740 S 
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    City                 |    PLEASANT GROVE
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    State                |    UT
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    Zip                  |    84062-3182
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    Country              |    US
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    Telephone            |    801-616-6609
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    238596
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    License Number State |    AK
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