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General NPI Number Information
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NPI Number | 1861408627
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Entity Type | Organization
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Legal Business Name | TYLER HEALTHCARE INC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 221 RICE MINE RD NE STE B
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2401
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Country | US
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Telephone | 205-462-3569
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Fax | 205-462-3763
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Provider Business Mailing Address
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Address Line | 221 RICE MINE RD NE STE B
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2401
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Country | US
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Telephone | 205-462-3569
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Fax | 205-462-3763
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONALD WILLIAM WADSWORTH
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Credential |
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Telephone | 205-462-3569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 644
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License Number State | AL
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