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General NPI Number Information
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NPI Number | 1891314548
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Entity Type | Individual
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Provider Name | DAVID LYLE MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1171 W TARGET RANGE RD
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City | NOGALES
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State | AZ
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Zip | 85621-2415
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Country | US
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Telephone | 520-285-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 ST. ANTOINE UHC-6F
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City | DETROIT
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State | MI
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Zip | 48201
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301508007
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A194287
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 74524
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD-52167
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2023036577
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036164151
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01089222A
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 82216-20
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License Number State | WI
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Taxonomy #9
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 1020848
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License Number State | MA
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