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General NPI Number Information
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NPI Number | 1376787739
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Entity Type | Organization
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Legal Business Name | PAULA PYLE MD, LLC
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 01/16/2012
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Provider Practice Location Address
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Address Line | 975 ROYCE ST
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City | PENSACOLA
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State | FL
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Zip | 32503-2463
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Country | US
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Telephone | 850-332-7760
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Fax | 850-497-6695
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Provider Business Mailing Address
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Address Line | PO BOX 2220
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City | PENSACOLA
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State | FL
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Zip | 32513-2220
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Country | US
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Telephone | 850-332-7760
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Fax | 850-497-6695
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | PAU;A B PYLE
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Credential | M.D.
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Telephone | 850-332-7760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME0079342
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License Number State | FL
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