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General NPI Number Information
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NPI Number | 1104807445
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Entity Type | Individual
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Provider Name | TOM A SAYVETZ MD
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Gender | Male
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 202 MAPLEWOOD AVE GREENBRIER VALLEY MEDICAL CENTER
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City | RONCEVERTE
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State | WV
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Zip | 24970-1334
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Country | US
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Telephone | 304-647-4411
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Fax | 304-647-6064
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Provider Business Mailing Address
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Address Line | PO BOX 808
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City | WINFIELD
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State | WV
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Zip | 25213-0808
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Country | US
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Telephone | 304-586-0771
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Fax | 304-586-0799
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 17949
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License Number State | WV
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