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General NPI Number Information
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NPI Number | 1164710901
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Entity Type | Organization
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Legal Business Name | ROBERT C. LYMAN, MD, PA
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 07/14/2011
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Provider Practice Location Address
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Address Line | 2710 HOSPITAL DR STE 202
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City | VICTORIA
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State | TX
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Zip | 77901-5743
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Country | US
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Telephone | 361-579-1388
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Fax | 361-574-1571
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Provider Business Mailing Address
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Address Line | 2710 HOSPITAL DR STE 202
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City | VICTORIA
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State | TX
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Zip | 77901-5743
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Country | US
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Telephone | 361-579-1388
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Fax | 361-574-1571
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT C. LYMAN
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Credential | MD
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Telephone | 361-579-1388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G8253
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License Number State | TX
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