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General NPI Number Information
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NPI Number | 1467983494
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Entity Type | Individual
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Provider Name | ROBERT DYER MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 100 MARKET ST STE 300
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-4927
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Country | US
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Telephone | 484-622-6400
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Fax | 484-622-6403
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Provider Business Mailing Address
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Address Line | 101 E OLNEY AVE STE 400
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City | PHILADELPHIA
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State | PA
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Zip | 19120-2470
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Country | US
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Telephone | 215-456-7000
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Fax | 215-456-5926
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | MD475666
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License Number State | PA
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