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General NPI Number Information
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NPI Number | 1033421888
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Entity Type | Organization
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Legal Business Name | MARVIN R. HYETT, M.D., P.A.
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 2021 NEW RD SUITE 10
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City | LINWOOD
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State | NJ
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Zip | 08221-1045
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Country | US
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Telephone | 609-653-1444
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Fax | 609-926-2308
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Provider Business Mailing Address
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Address Line | 2021 NEW RD SUITE 10
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City | LINWOOD
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State | NJ
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Zip | 08221-1045
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Country | US
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Telephone | 609-653-1444
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Fax | 609-926-2308
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARVIN R. HYETT
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Credential | M.D.
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Telephone | 609-653-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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