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General NPI Number Information
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NPI Number | 1144308834
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Entity Type | Individual
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Provider Name | BETTINA MAGDALENA GYR MD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 171 KEMPSVILLE RD BLDG A2ND
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City | NORFOLK
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State | VA
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Zip | 23502-4700
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Country | US
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Telephone | 757-668-6557
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Fax | 757-668-6544
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Provider Business Mailing Address
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Address Line | 301 BROOKE AVE APT 305
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City | NORFOLK
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State | VA
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Zip | 23510-1344
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Country | US
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Telephone | 336-970-3187
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Fax | 757-668-6544
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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 | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 0101056485
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 2010-00349
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License Number State | NC
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