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General NPI Number Information
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NPI Number | 1427062645
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Entity Type | Individual
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Provider Name | WILLIS H HOYT MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 1965 S FREMONT AVE SUITE 330
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City | SPRINGFIELD
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State | MO
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Zip | 65804-2201
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Country | US
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Telephone | 417-820-8180
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Fax | 417-820-8183
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Provider Business Mailing Address
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Address Line | PO BOX 2580
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City | SPRINGFIELD
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State | MO
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Zip | 65801-2580
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Country | US
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Telephone | 417-829-4620
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Fax | 417-829-4316
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H62103
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2006007764
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License Number State | MO
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