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General NPI Number Information
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NPI Number | 1548482763
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Entity Type | Individual
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Provider Name | TAMARA K PYLAWKA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 1389 N BALDWIN AVE
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City | MARION
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State | IN
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Zip | 46952-1913
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Country | US
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Telephone | 765-664-2671
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Fax | 765-664-3703
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Provider Business Mailing Address
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Address Line | 3600 W BETHEL AVE
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City | MUNCIE
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State | IN
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Zip | 47304-5407
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Country | US
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Telephone | 765-664-2671
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Fax | 765-664-3703
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01076966A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036-133317
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License Number State | IL
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