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General NPI Number Information
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NPI Number | 1043747868
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Entity Type | Individual
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Provider Name | EMORY DYE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 7601 OFFICE PLAZA DR N STE 100
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City | WEST DES MOINES
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State | IA
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Zip | 50266-2340
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Country | US
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Telephone | 515-222-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 7601 OFFICE PLAZA DR N STE 100
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City | WEST DES MOINES
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State | IA
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Zip | 50266-2340
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 7907
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD-53754
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License Number State | IA
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