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General NPI Number Information
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NPI Number | 1811809577
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Entity Type | Individual
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Provider Name | TYLER ROGERS
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Gender | Female
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 7233 E BASELINE RD STE 106
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City | MESA
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State | AZ
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Zip | 85209-5007
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Country | US
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Telephone | 480-477-3203
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Fax |
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Provider Business Mailing Address
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Address Line | 3310 S COLT DR
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City | GILBERT
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State | AZ
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Zip | 85297-7770
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 22112
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License Number State | AZ
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