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General NPI Number Information
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NPI Number | 1932977329
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Entity Type | Individual
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Provider Name | TYLER J BROWN PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1306 E CALVADA BLVD
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City | PAHRUMP
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State | NV
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Zip | 89048-2797
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Country | US
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Telephone | 877-757-8353
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Fax |
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Provider Business Mailing Address
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Address Line | 3884 RANCHO NIGUEL PKWY
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City | LAS VEGAS
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State | NV
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Zip | 89147-8015
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Country | US
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Telephone | 702-715-8537
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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 | 6321
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 6321
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License Number State | NV
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