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General NPI Number Information
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NPI Number | 1578516076
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Entity Type | Individual
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Provider Name | RALPH THOMAS LYERLY JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 1532 CARRAWAY BLVD SUITE 220
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City | BIRMINGHAM
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State | AL
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Zip | 35234-1955
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Country | US
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Telephone | 205-502-1700
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Fax | 205-502-1710
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Provider Business Mailing Address
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Address Line | 3400 HIGHWAY 78 E MEDICAL ARTS TOWER, SUITE 406
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City | TALLADEGA
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State | AL
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Zip | 35501
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Country | US
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Telephone | 205-384-4212
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Fax | 205-387-8130
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 5666
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License Number State | AL
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