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General NPI Number Information
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NPI Number | 1336232552
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Entity Type | Individual
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Provider Name | VICTORIA K LYLE PHD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 102 HERITAGE WAY NE
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City | LEESBURG
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State | VA
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Zip | 20176-4544
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Country | US
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Telephone | 703-771-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 1503 DOCKSIDE DR
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City | FREDERICK
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State | MD
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Zip | 21701-4472
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Country | US
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Telephone | 301-698-9314
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LC1008
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License Number State | MD
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