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General NPI Number Information
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NPI Number | 1437254240
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Entity Type | Individual
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Provider Name | JAMES M LYALL PHD
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4041 BATTON ST NW SUITE 108
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City | N CANTON
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State | OH
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Zip | 44720
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Country | US
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Telephone | 330-305-9860
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Fax | 330-433-0094
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Provider Business Mailing Address
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Address Line | 6475 FRIARWOOD CIRCLE NW
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City | CANTON
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State | OH
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Zip | 44718
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Country | US
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Telephone | 330-305-9860
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Fax | 330-433-0094
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2768
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License Number State | OH
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