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NPI 1962148452

NPI 1962148452 : SNOWLEOPARD CHINA TYLER MD : OMAHA, NE

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General NPI Number Information
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    NPI Number           |    1962148452
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    Entity Type          |    Individual 
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    Provider Name        |    SNOWLEOPARD CHINA TYLER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/09/2022
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    Last Update Date     |    08/29/2025
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Provider Practice Location Address
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    Address Line         |    6801 NEWPORT AVE 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68152-2152
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    Country              |    US
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    Telephone            |    402-572-3900
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    Fax                  |    402-572-3793
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Provider Business Mailing Address
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    Address Line         |    6801 NEWPORT AVE 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68152-2152
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    Country              |    US
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    Telephone            |    402-572-3900
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    Fax                  |    402-572-3793
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    37078
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    License Number State |    NE
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