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General NPI Number Information
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NPI Number | 1346284056
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Entity Type | Individual
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Provider Name | ROBERTO DYREYES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | FOURTH AND WALNUT STREETS RADIOLOGY DEPARTMENT
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City | LEBANON
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State | PA
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Zip | 17042
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Country | US
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Telephone | 717-270-7642
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Fax | 717-272-7069
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Provider Business Mailing Address
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Address Line | 1001 BRIGGS RD SUITE 210
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-4100
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Country | US
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Telephone | 856-231-4774
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Fax | 856-231-9699
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | MD032088L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | MD032088L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | MD032088L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD032088L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD032088L
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | MD032088L
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License Number State | PA
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