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General NPI Number Information
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NPI Number | 1891114328
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Entity Type | Individual
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Provider Name | CARA ANN LYLE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2014
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 6780 MAYFIELD RD
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2203
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Country | US
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Telephone | 216-903-6689
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Fax | 216-444-9324
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Provider Business Mailing Address
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Address Line | 6801 MAYFIELD RD STE 300
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City | MAYFIELD HTS
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State | OH
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Zip | 44124-2207
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Country | US
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Telephone | 440-461-1150
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Fax | 440-460-2826
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 35.136560
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License Number State | OH
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