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General NPI Number Information
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NPI Number | 1821895558
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Entity Type | Individual
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Provider Name | TYLER HALL
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Gender |
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 45 ST LAWRENCE DR
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City | TIFFIN
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State | OH
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Zip | 44883-8310
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Country | US
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Telephone | 419-455-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 145 MAPLE ST
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City | PLYMOUTH
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State | OH
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Zip | 44865-1203
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Country | US
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Telephone | 567-274-8612
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Fax | 567-274-8612
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PTA011780
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License Number State | OH
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