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General NPI Number Information
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NPI Number | 1194750489
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Entity Type | Individual
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Provider Name | UYGAR TEOMETE MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 500 CHERRY ST
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City | BLUEFIELD
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State | WV
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Zip | 24701-3306
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Country | US
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Telephone | 304-327-1100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 489
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City | BLUEFIELD
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State | WV
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Zip | 24701-0489
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Country | US
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Telephone |
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 27426
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License Number State | WV
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