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General NPI Number Information
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NPI Number | 1083601025
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Entity Type | Individual
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Provider Name | CRAIG L MUETTERTIES M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 190 W SPROUL RD
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City | SPRINGFIELD
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State | PA
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Zip | 19064-2027
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Country | US
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Telephone | 610-328-8700
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Fax | 877-329-2370
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Provider Business Mailing Address
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Address Line | PO BOX 650782
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City | DALLAS
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State | TX
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Zip | 75265-0782
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Country | US
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Telephone | 888-709-4485
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Fax | 302-733-0854
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD017971E
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License Number State | PA
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