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General NPI Number Information
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NPI Number | 1275561037
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Entity Type | Individual
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Provider Name | SUSAN K PYLE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 622 E ELM ST
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City | UNION CITY
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State | OH
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Zip | 45390-1722
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Country | US
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Telephone | 937-968-7946
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Fax |
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Provider Business Mailing Address
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Address Line | 835 SWEITZER ST
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City | GREENVILLE
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State | OH
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Zip | 45331-1007
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Country | US
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Telephone | 937-548-1141
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35046127
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License Number State | OH
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