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General NPI Number Information
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NPI Number | 1174716112
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Entity Type | Individual
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Provider Name | KELLY LYNN PYLE M.S. CCC/SLP-L
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Gender | Female
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 827 GEORGES STATION RD
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City | GREENSBURG
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State | PA
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Zip | 15601-6457
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Country | US
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Telephone | 724-837-7100
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Fax | 724-837-7102
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Provider Business Mailing Address
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Address Line | 814 OVERLOOK DR
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City | SOMERSET
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State | PA
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Zip | 15501-9725
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Country | US
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Telephone | 724-331-8301
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SL008453
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License Number State | PA
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