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General NPI Number Information
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NPI Number | 1831849348
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Entity Type | Individual
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Provider Name | TYLER GEORGE MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2022
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 5380 S RAINBOW BLVD STE 236
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City | LAS VEGAS
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State | NV
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Zip | 89118-1879
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Country | US
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Telephone | 702-778-2204
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Fax |
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Provider Business Mailing Address
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Address Line | 5380 S RAINBOW BLVD STE 236
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City | LAS VEGAS
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State | NV
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Zip | 89118-1879
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Country | US
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Telephone | 27-782-2047
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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 | 27755
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License Number State | NV
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