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General NPI Number Information
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NPI Number | 1003371410
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Entity Type | Individual
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Provider Name | RYAN TIMOTHY PYLES PA-C, MPAS
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Gender | Male
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 25 COMMERCE PARK DRIVE
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City | RAPHINE
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State | VA
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Zip | 24472
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Country | US
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Telephone | 540-490-2527
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Fax | 540-377-2099
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Provider Business Mailing Address
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Address Line | 2015 1ST ST
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City | STAUNTON
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State | VA
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Zip | 24401-2923
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Country | US
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Telephone | 540-280-0169
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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