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General NPI Number Information
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NPI Number | 1922699198
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Entity Type | Organization
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Legal Business Name | C TYLER LLC
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 9375 CHESAPEAKE ST STE 219
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City | LA PLATA
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State | MD
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Zip | 20646-3654
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Country | US
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Telephone | 240-763-0843
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Fax | 877-775-0210
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Provider Business Mailing Address
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Address Line | 9375 CHESAPEAKE ST STE 219
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City | LA PLATA
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State | MD
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Zip | 20646-3654
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Country | US
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Telephone | 240-763-0843
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Fax | 877-775-0210
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Authorized Official
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Title or Position | CEO
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Name | CA'SEEM TYLER
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Credential | CRNP
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Telephone | 240-763-0843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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