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General NPI Number Information
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NPI Number | 1174014542
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Entity Type | Individual
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Provider Name | KATHERINE E LYLE MT-BC
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Gender | Female
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 1003 SR 662 W
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City | NEWBURGH
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State | IN
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Zip | 47630
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Country | US
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Telephone | 812-490-9401
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Fax | 888-715-3298
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Provider Business Mailing Address
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Address Line | 2744 N CROSS CREEK DR
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City | EVANSVILLE
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State | IN
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Zip | 47715-7731
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Country | US
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Telephone | 770-862-0596
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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