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General NPI Number Information
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NPI Number | 1992996060
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Entity Type | Individual
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Provider Name | JOSHUA DAVID LYON PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 4461 S WHITE MOUNTAIN RD
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City | SHOW LOW
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State | AZ
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Zip | 85901-7782
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Country | US
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Telephone | 928-242-3093
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Fax | 866-728-7464
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Provider Business Mailing Address
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Address Line | 1000 N BEELINE HWY # 158
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City | PAYSON
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State | AZ
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Zip | 85541-4907
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Country | US
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Telephone | 509-999-3556
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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 | 3657
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License Number State | AZ
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