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General NPI Number Information
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NPI Number | 1063498343
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Entity Type | Individual
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Provider Name | GREGORY EDMUND HYDE M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 110 E 13TH ST
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City | RUSHVILLE
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State | IN
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Zip | 46173-2126
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Country | US
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Telephone | 765-932-7063
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Fax | 765-932-7065
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Provider Business Mailing Address
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Address Line | 1300 N MAIN ST
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City | RUSHVILLE
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State | IN
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Zip | 46173-1198
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Country | US
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Telephone | 765-932-4111
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Fax | 765-932-7505
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | M0115
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | 01082170A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | M0115
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 01082170A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | M0115
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01082170A
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License Number State | IN
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