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General NPI Number Information
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NPI Number | 1104033117
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Entity Type | Organization
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Legal Business Name | PYLE FAMILY AFFILIATED COMPANIES INC.
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1501 SUNLAND PARK DR
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 972-334-9016
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 SUNLAND PARK DR
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City | FRISCO
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State | TX
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Zip | 75034-0209
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Country | US
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Telephone | 972-334-9016
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JERRY DWAYNE PYLE
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Credential | R.PH.
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Telephone | 972-334-9016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 19955
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License Number State | TX
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