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General NPI Number Information
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NPI Number | 1700813037
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Entity Type | Individual
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Provider Name | KRIS T. PYLES-SWEET PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 12811 MELISSA DR
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City | JUSTIN
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State | TX
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Zip | 76247-8606
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Country | US
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Telephone | 704-345-7508
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Fax | 704-547-9515
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Provider Business Mailing Address
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Address Line | 12811 MELISSA DR
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City | JUSTIN
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State | TX
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Zip | 76247-8606
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Country | US
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Telephone | 704-345-7508
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Fax | 704-547-9515
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA08347
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License Number State | TX
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