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General NPI Number Information
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NPI Number | 1245423946
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Entity Type | Individual
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Provider Name | WILLIAM F. LYON MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2007
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Last Update Date | 08/25/2007
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Provider Practice Location Address
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Address Line | 30110 CROWN VALLEY PKWY
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2043
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Country | US
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Telephone | 949-495-7144
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Fax | 949-495-0270
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Provider Business Mailing Address
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Address Line | 30110 CROWN VALLEY PKWY
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2043
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Country | US
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Telephone | 949-495-7144
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Fax | 949-495-0270
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | C27618
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | C276180
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License Number State | CA
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