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General NPI Number Information
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NPI Number | 1982395273
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Entity Type | Individual
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Provider Name | KYLER PULLEY PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 616 6TH ST
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City | BREMERTON
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State | WA
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Zip | 98337-1420
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Country | US
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Telephone | 360-377-3776
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 NE 187TH PL APT 101
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City | KENMORE
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State | WA
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Zip | 98028-2145
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.PA.70003613
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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