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General NPI Number Information
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NPI Number | 1114098787
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH DWYER MD
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 1255 ASHBY
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City | SEGUIN
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State | TX
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Zip | 78155
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Country | US
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Telephone | 830-372-2840
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Fax | 830-372-2547
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Provider Business Mailing Address
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Address Line | 1255 ASHBY ST STE H
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City | SEGUIN
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State | TX
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Zip | 78155-5100
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Country | US
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Telephone | 830-372-2840
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Fax | 833-291-9752
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 9320
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E7589
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E7589
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License Number State | TX
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