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General NPI Number Information
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NPI Number | 1225900574
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Entity Type | Individual
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Provider Name | NOAH LYONS
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Gender | Male
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 3600 SHIRE BLVD STE 110
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City | RICHARDSON
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State | TX
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Zip | 75082-2236
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Country | US
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Telephone | 469-333-1543
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Fax |
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Provider Business Mailing Address
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Address Line | 539 E 26TH PL N
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City | TULSA
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State | OK
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Zip | 74106-2305
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | TX
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