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General NPI Number Information
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NPI Number | 1952261372
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Entity Type | Organization
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Legal Business Name | TYLER ESTES, MD, PLLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 2820 E MILLENNIUM DR STE 1
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-6514
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Country | US
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Telephone | 479-251-8055
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Fax | 479-251-1511
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Provider Business Mailing Address
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Address Line | PO BOX 9450
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-0025
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Country | US
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Telephone | 479-251-8055
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Fax | 479-251-1511
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Authorized Official
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Title or Position | CEO
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Name | DR. TYLER ESTES
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Credential | MD
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Telephone | 918-704-6931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number |
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License Number State |
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