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General NPI Number Information
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NPI Number | 1871801811
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Entity Type | Individual
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Provider Name | MATEE LYONS F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 26265 NORTHWEST FWY
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City | CYPRESS
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State | TX
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Zip | 77429-1760
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Country | US
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Telephone | 291-758-0092
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CVS DR
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City | WOONSOCKET
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State | RI
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Zip | 02895-6146
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Country | US
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Telephone | 186-638-9272
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 734136
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License Number State | TX
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