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General NPI Number Information
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NPI Number | 1750431458
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Entity Type | Individual
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Provider Name | CHARLOTTE PAIGE TYLER MSW
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 9808 W CEDAR AVE
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City | LAKEWOOD
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State | CO
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Zip | 80226-1023
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Country | US
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Telephone | 303-432-5400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 917770
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City | ORLANDO
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State | FL
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Zip | 32891-0001
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Country | US
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Telephone | 813-821-8038
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Fax | 813-974-4325
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW17115
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License Number State | FL
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