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General NPI Number Information
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NPI Number | 1881638906
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Entity Type | Organization
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Legal Business Name | KIRK L. PYLE
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 07/02/2009
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Provider Practice Location Address
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Address Line | 118 PUBLIC SQUARE EAST
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City | WAYNESBORO
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State | TN
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Zip | 38485-1202
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Country | US
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Telephone | 931-722-5575
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Fax | 931-722-5548
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Provider Business Mailing Address
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Address Line | P.O. BOX 1202 118 PUBLIC SQUARE EAST
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City | WAYNESBORO
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State | TN
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Zip | 38485-1202
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Country | US
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Telephone | 931-722-5575
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Fax | 931-722-5548
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Authorized Official
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Title or Position | OWNER
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Name | KIRK L PYLE
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Credential |
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Telephone | 931-722-5575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | 291U00000X
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License Number State | TN
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