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General NPI Number Information
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NPI Number | 1912862434
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Entity Type | Individual
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Provider Name | TYLER FARRIS HEATH DPT
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Gender | Male
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 76 REGENCY PKWY
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City | MANSFIELD
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State | TX
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Zip | 76063-7816
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Country | US
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Telephone | 817-419-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 849 BUFFALO GAP RD
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City | TUSCOLA
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State | TX
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Zip | 79562-2147
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Country | US
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Telephone | 326-660-0047
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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