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General NPI Number Information
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NPI Number | 1891629085
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Entity Type | Individual
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Provider Name | TYLER A STAFFORD PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 1809 MAIN ST
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City | FRANKLINTON
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State | LA
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Zip | 70438-3619
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Country | US
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Telephone | 985-515-3301
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Fax |
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Provider Business Mailing Address
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Address Line | 41601 HIGHWAY 16
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City | FRANKLINTON
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State | LA
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Zip | 70438-4395
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Country | US
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Telephone | 985-515-3301
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 026246
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License Number State | LA
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