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General NPI Number Information
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NPI Number | 1801699707
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Entity Type | Organization
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Legal Business Name | TYNER HEALTH CARE LLC
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 5301 S CONGRESS AVE
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City | ATLANTIS
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State | FL
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Zip | 33462-1149
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Country | US
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Telephone | 561-965-7300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 872
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City | AGOURA HILLS
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State | CA
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Zip | 91376-0872
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Country | US
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Telephone | 818-518-7226
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NARGUESS DSADFAR
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Credential | MA
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Telephone | 818-518-7226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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